Individual
TYLER JACK SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
560 W DIVERSEY PKWY, CHICAGO, IL 60614-1678
(773) 524-6830
Mailing address
65 E SCOTT ST APT 7L, CHICAGO, IL 60610-5272
(989) 325-6435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.0187277
IL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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