Ms Destine Nicole Haley, LMT is a
Massage Therapist based in Richmond, Illinois. Ms Destine Nicole Haley is licensed to practice in Illinois (license number 227.021923) and her current practice location is
170 Cunat Blvd Apt 3d, Richmond, Illinois. She can be reached at her office (for appointments etc.) via phone at
(228) 343-9641.
NPI number for Ms Destine Nicole Haley is 1053913848 and her current mailing address is 170 Cunat Blvd Apt 3d, Richmond, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053913848.
Healthcare Provider's Profile
Full Name | Ms Destine Nicole Haley |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 170 Cunat Blvd Apt 3d, Richmond, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053913848
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/16/2020
Medical Identifiers
Medical identifiers for Ms Destine Nicole Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053913848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227.021923 (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. Ms Destine Nicole Haley 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 |
Ms Destine Nicole Haley, LMT 170 Cunat Blvd Apt 3d, Richmond, IL 60071-8964 Ph: (228) 343-9641 | Ms Destine Nicole Haley, LMT 170 Cunat Blvd Apt 3d, Richmond, IL 60071-8964 Ph: (228) 343-9641 |
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