Mr Terry Lee Craddock, LMT, LPN is a
Massage Therapist based in Farmer City, Illinois. Mr Terry Lee Craddock is licensed to practice in Illinois (license number ) and his current practice location is
120 S Main St, Farmer City, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 824-4373.
NPI number for Mr Terry Lee Craddock is 1164605549 and his current mailing address is 120 S Main St, Farmer City, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164605549.
Healthcare Provider's Profile
Full Name | Mr Terry Lee Craddock |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 120 S Main St, Farmer City, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164605549
- Provider Enumeration Date: 12/09/2007
- Last Update Date: 01/10/2008
Medical Identifiers
Medical identifiers for Mr Terry Lee Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164605549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry Lee Craddock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Terry Lee Craddock, LMT, LPN 120 S Main St, Farmer City, IL 61842-1454 Ph: (309) 824-4373 | Mr Terry Lee Craddock, LMT, LPN 120 S Main St, Farmer City, IL 61842-1454 Ph: (309) 824-4373 |
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