Individual
AMANDA MARIE PADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6178 N NRTHWST HWY, CHICAGO, IL 60631-2126
(773) 570-6404
Mailing address
6178 N NRTHWST HWY, CHICAGO, IL 60631-2126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012305
IL
225700000X
Massage Therapist
227012305
IL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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