Individual
OSAPEER OK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 842-3140
Mailing address
1445 WIMPOLE ST APT E102, MUNDELEIN, IL 60060-4384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016763
IL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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