Individual
AMANDA GURTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5547 N RAVENSWOOD AVE # 401, CHICAGO, IL 60640-1125
(224) 707-0811
Mailing address
1721 W BRYN MAWR AVE # 3W, CHICAGO, IL 60660-5263
(571) 269-5332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016649
IL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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