Individual
INDIGO TERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5427 BROOKBANK RD, DOWNERS GROVE, IL 60515-4842
(312) 952-8688
(312) 952-8688
Mailing address
5427 BROOKBANK RD, DOWNERS GROVE, IL 60515-4842
(312) 952-8688
(312) 952-8688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.023982
IL
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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