Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CARLA JEAN VANDENBURGH, MASSAGE THERAPIST
Active Sole ProprietorMS. CARLA JEAN VANDENBURGH, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in BELLEVILLE, Illinois. NPI 1124368683 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BELLEVILLE, IL
Registration Details
- NPI Number
- 1124368683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2013 (13.437323879531 yrs)
- Last Updated
- Feb 20, 2013
- License
-
217.011790 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 LEBANON AVE STE 101BELLEVILLE, IL, 622212491Browse IL providers · Browse ZIP 62221
- Phone
- 6189787407
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DEAN CHRIS HARRIS | LMT | 1891819884 |
| BRENTON D EBERSOLE | LMT | 1437699857 |
| MR. KYLE BRUNSMANN | MSR, LMT | 1619519725 |
| MRS. LOLA HERNDON | — | 1497354104 |
| LAEISHA ALDRIDGE | LMT | 1235930900 |
| TIFFANY TULLY | — | 1952105181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.