Most Relevant Information
Provider Data
| NPI Number: | 1003597964 |
| Provider Name: | MARVA WRIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227006073 |
Most Important Dates
| Enumeration Date: | 07/25/2023 |
| Last Updated: | 07/25/2023 |
Provider Practice Location
3520 E EUGENE DR
DECATUR
IL
625212430
Practice Location Phone/Fax
| Phone: | 2175194808 |
| Fax: |
Provider Mailing Location
PO BOX 6224
DECATUR
IL
625246224
Provider Mailing Phone/Fax
| Phone: | 2175194808 |
| Fax: |