Individual
KRYSTAL MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMT, LE
Contact information
Practice address
17222 HARLEM AVE, TINLEY PARK, IL 60477-3368
(708) 468-8957
Mailing address
2805 140TH PL, BLUE ISLAND, IL 60406-3352
(773) 879-5640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014737
IL
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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