Individual
CHRISTINE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
7912 WOODLYN DR, APT 101, WOODRIDGE, IL 60517-3855
(630) 392-5988
Mailing address
7912 WOODLYN DR, APT 101, WOODRIDGE, IL 60517-3855
(630) 392-5988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227010996
IL
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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