Doctor Name: | CARRIE B. ARSENEAU |
NPI Number: | 1174875371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA, LMT |
License Number: | 227.006766 |
Business Practice Address: | 395 N Locust St Manteno, IL - 609501222 |
Business Phone Number: | 8154688246 |
Business Fax Number: | 8154688304 |
Mailing Address: | 350 N Wall St, KANKAKEE |
State: | IL |
Postal Code: | 609012901 |
Phone Number: | 8159357514 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 10/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.006766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |