Individual
KRYSTINE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 CENTER ST, SUITE B, GRAYSLAKE, IL 60030-1645
(847) 543-1055
(847) 543-8648
Mailing address
419 CENTER ST, SUITE B, GRAYSLAKE, IL 60030-1645
(847) 543-1055
(847) 543-8648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006863
IL
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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