IndividualActive
Angie Sutherland, LMT, CMMP
NPI 1851963441 · Massage Therapist · Champaign, IL
Provider details
- NPI number
- 1851963441
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, CMMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- IL227.020137 (IL)
Mailing address
1806 N. Market Street
Champaign, IL 61822
Registry dates
- Enumerated
- 2021-07-13
- Last updated
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.