Individual
MRS. KRISHA L WILSON- FRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 E ROOSEVELT RD APT 514, LOMBARD, IL 60148-4539
(773) 920-0205
Mailing address
200 E ROOSEVELT RD APT 514, LOMBARD, IL 60148-4539
(773) 920-0205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009496
IL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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