Roberta Dearth

Massage Therapist · Channahon, IL

Individual Active NPI

NPI number 1942531462

Practice location

25652 W Colleen Ct
Channahon, IL 60410-8638
Phone
(815) 791-1510
Fax
(815) 886-5983

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NPI record

NPI
1942531462
Entity type
Individual (Type 1)
Enumeration date
January 22, 2010
Last updated
January 22, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 227008582 IL

About Roberta Dearth

Roberta Dearth is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 25652 W Colleen Ct, Channahon, IL 60410-8638. The NPI number 1942531462 was assigned on January 22, 2010 and the record was last updated on January 22, 2010.

Roberta Dearth lists a license in the registry: #227008582 (IL) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta Dearth?

The NPI number is 1942531462.

What is the phone number of Roberta Dearth?

The phone number listed for the practice location is (815) 791-1510.

Where is Roberta Dearth located?

25652 W Colleen Ct, Channahon, IL 60410-8638.

What is the taxonomy code for Roberta Dearth?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.