Individual
JULIE LYN BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29W585 BATAVIA RD STE 4, WARRENVILLE, IL 60555-1952
(630) 927-9867
Mailing address
18372 W SPRINGWOOD DR, GRAYSLAKE, IL 60030-4014
(630) 776-6156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227005071
IL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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