Individual
MS. KYLA M MARTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMST
Contact information
Practice address
2130 N LINCOLN PARK W, CHICAGO, IL 60614-4649
(773) 266-1232
Mailing address
2130 N LINCOLN PARK W, CHICAGO, IL 60614-4649
(773) 266-1232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227002487
IL
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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