Ryan Ijames, | |
3313 Patriot Ct, Herrin, IL 62948-3782 | |
(618) 993-9910 | |
(618) 993-2774 |
Full Name | Ryan Ijames |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 3313 Patriot Ct, Herrin, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114333705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227009489 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ryan Ijames, 3313 Patriot Ct, Herrin, IL 62948-3782 Ph: (618) 993-9910 | Ryan Ijames, 3313 Patriot Ct, Herrin, IL 62948-3782 Ph: (618) 993-9910 |
Melanie Lentz, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 | |
Angela Wagner, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 | |
Angelique Petree, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3313 Patriot Ct, Herrin, IL 62948 Phone: 618-993-9910 Fax: 618-993-2774 |