Individual
BRIANNE KATHRYN BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MACGREGOR RD, LOCKPORT, IL 60441-2712
(708) 218-7115
Mailing address
1014 HIGHLAND AVE, LOCKPORT, IL 60441-2753
(708) 218-7115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007971
IL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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