Individual
LISA CRISTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
414 N ORLEANS ST, 207, CHICAGO, IL 60654-4421
(312) 832-9700
Mailing address
5920 W CULLOM AVE, CHICAGO, IL 60634-1652
(773) 725-6878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.002964
IL
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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