Individual
DYMPHIA STIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 N LASALLE, SUITE 800, CHICAGO, IL 60654
(312) 321-0004
Mailing address
920 85TH ST APT 113, KENOSHA, WI 53143-6564
(847) 207-7186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
05/31/2022
Last updated
06/02/2022
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