DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LOLA HERNDON

Active Sole Proprietor

MRS. LOLA HERNDON is a Massage Therapist healthcare provider located in BELLEVILLE, Illinois. NPI 1497354104 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · BELLEVILLE, IL

Registration Details

NPI Number
1497354104
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2020 (5.7729160080825 yrs)
Last Updated
Nov 10, 2020
License
2014031513 (MO)
Sole Proprietor
Yes

Practice Information

Address
844 WILSHIRE DR
BELLEVILLE, IL, 622232623
Browse IL providers · Browse ZIP 62223
Phone
3143804202
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in BELLEVILLE, IL

Name Credential NPI
MR. DEAN CHRIS HARRIS LMT 1891819884
MS. CARLA JEAN VANDENBURGH MASSAGE THERAPIST 1124368683
BRENTON D EBERSOLE LMT 1437699857
MR. KYLE BRUNSMANN MSR, LMT 1619519725
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.