Individual
NICOLE WEYDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S NAPER BLVD, NAPERVILLE, IL 60540-8312
(630) 527-9100
Mailing address
2096 SAND HILL CT, MONTGOMERY, IL 60538-6000
(630) 527-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013408
IL
Other
Enumeration date
06/25/2016
Last updated
06/30/2016
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