Individual
KYREN ELLERY EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6961 N CLARK ST, CHICAGO, IL 60626-3222
(312) 469-0505
Mailing address
6961 N CLARK ST, CHICAGO, IL 60626-3222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022781
IL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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