Individual
TINA K MISANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 NAPERVILLEWHEATON RD, SUITE 109C, NAPERVILLE, IL 60563
(630) 835-7565
Mailing address
1617 GROTON CT, WHEATON, IL 60189-7746
(630) 835-7565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006420
IL
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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