| Royce Micheal Daugherty, LMT, MMP | |
|
703 Dodge Ave Apt 2n, Evanston, IL 60202-1975 | |
| (773) 289-6212 | |
| Not Available |
| Full Name | Royce Micheal Daugherty |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 703 Dodge Ave Apt 2n, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316424245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227010167 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Royce Micheal Daugherty, LMT, MMP 703 Dodge Ave Apt 2n, Evanston, IL 60202-1975 Ph: (773) 289-6212 | Royce Micheal Daugherty, LMT, MMP 703 Dodge Ave Apt 2n, Evanston, IL 60202-1975 Ph: (773) 289-6212 |
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