Individual
MRS. KAREN ELLEN WIEMER X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
16622 W 159TH ST, SUITE 500, LOCKPORT, IL 60441-8014
(815) 838-7746
Mailing address
402 N FARRELL RD, LOCKPORT, IL 60441-2364
(815) 838-4959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.002908
IL
Other
Enumeration date
04/27/2015
Last updated
04/29/2015
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