Individual
SHERRY OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
111 W JACKSON BLVD, CHICAGO, IL 60604-3589
(773) 617-2294
Mailing address
111 W JACKSON BLVD STE 17, CHICAGO, IL 60604-3589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227008617
IL
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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