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Organization
TLC MASSAGE AND SPA INC
Active
Organization
TLC MASSAGE AND SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A PETERSON MASSAGE THERAPIST (MAANGING DIRECTOR)
(847) 207-0285
Entity
Organization
Contact information
Practice address
102 MINNIE ST, CRYSTAL LAKE, IL 60014-4385
(815) 356-5710
Mailing address
102 MINNIE ST, CRYSTAL LAKE, IL 60014-4385
(815) 356-5710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/26/2022
Last updated
08/26/2022
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