Individual
KATHRYN E BJERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11248 WALTON DR, ROSCOE, IL 61073-8122
(815) 623-1569
Mailing address
11248 WALTON DR, ROSCOE, IL 61073-8122
(815) 623-1569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013165
IL
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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