Individual
MR. JOSHUA CHASE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1621 ROUND LAKE DR, ROUND LAKE BEACH, IL 60073-1917
(847) 721-8114
Mailing address
1621 ROUND LAKE DR, ROUND LAKE BEACH, IL 60073-1917
(847) 721-8114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227010738
IL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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