Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY LEE CRADDOCK, L.M.T, L.P.N.
Active Sole ProprietorMR. TERRY LEE CRADDOCK, L.M.T, L.P.N. is a Massage Therapist healthcare provider located in FARMER CITY, Illinois. NPI 1164605549 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FARMER CITY, IL
Registration Details
- NPI Number
- 1164605549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2007 (18.669992860979 yrs)
- Last Updated
- Jan 10, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 S MAIN STFARMER CITY, IL, 618421454Browse IL providers · Browse ZIP 61842
- Phone
- 3098244373
- Primary Specialty
-
Massage Therapist
225700000X
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.