Individual
DAVID IN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
393 AARON LN, BOLINGBROOK, IL 60440-2180
(224) 250-8360
Mailing address
393 AARON LN, BOLINGBROOK, IL 60440-2180
(224) 250-8360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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