Candace Barnes, LMT
Individual provider Active NPI Massage Therapist · Olney, IL
NPI 1750101903 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1750101903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227020700 (IL)
- Practice address
- 702 High St
Olney, IL 62450-1337 - Phone
- (618) 863-1777
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 227020700 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227020700 | IL | Yes |
Addresses
Primary practice location
702 High St
Olney, IL 62450-1337
Mailing address
7481 E Gallagher LN
Calhoun, IL 62419-2301
Phone (618) 863-1777
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. 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.