Organization
BODYSHOP PROFESSIONAL MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE M MEREDITH LMT (LICENSED MASSAGE THERAPIST)
(630) 418-4440
Entity
Organization
Contact information
Practice address
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014-7578
(630) 446-0110
Mailing address
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014-7578
(630) 446-0110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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