Provider Demographics
NPI:1316815202
Name:MEANS, JAMES RAY
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RAY
Last Name:MEANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 N. MAIN ST
Mailing Address - Street 2:SUITE #111
Mailing Address - City:TUSCOLA
Mailing Address - State:IL
Mailing Address - Zip Code:61953
Mailing Address - Country:US
Mailing Address - Phone:217-254-8286
Mailing Address - Fax:
Practice Address - Street 1:704 N MAIN ST APT 111
Practice Address - Street 2:
Practice Address - City:TUSCOLA
Practice Address - State:IL
Practice Address - Zip Code:61953-1020
Practice Address - Country:US
Practice Address - Phone:217-254-8286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist