Organization
AXON BODYWORK THERAPIES LLC
Active
Other names
Axon Medical Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIDA MICHELLE COSENTINO LMT, CMA (OWNER)
(331) 806-6094
Entity
Organization
Contact information
Practice address
319 S MAIN ST STE B, ELBURN, IL 60119-9119
(844) 762-0735
Mailing address
2575 SURREY CT, AURORA, IL 60506-4447
(331) 806-6094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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