Individual
MR. DANIEL KRISTOFFER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1S132 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3955
(630) 705-1475
(630) 705-1566
Mailing address
3525 HOME AVE, BERWYN, IL 60402-3331
(708) 990-6314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.010882
IL
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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