Ardelle Carlene Duttlinger, LMT
Individual provider Active NPI Massage Therapist · Seneca, IL
NPI 1447835012 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1447835012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227021458 (IL)
- Practice address
- 260 S Main St
Seneca, IL 61360-9414 - Phone
- (815) 357-6858
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227021458 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Chiropractic Center of Seneca,LTD. | Current |
Accepting new patients |
Locations
260 S Main St
Seneca, IL 61360
Phone (815) 357-6858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227021458 | IL | Yes |
Addresses
Primary practice location
260 S Main St
Seneca, IL 61360-9414
Mailing address
1114 Bratton Ave
Marseilles, IL 61341-1006
Phone (309) 883-4363
Other providers in Seneca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.