Individual
TRISHA SCHACKMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12448 W 143RD ST, HOMER GLEN, IL 60491-6894
(708) 301-6411
Mailing address
12448 W 143RD ST, HOMER GLEN, IL 60491-6894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.017702
IL
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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