Individual
JULIE KIMPAN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
675 PARK AVE, GENOA, IL 60135-1100
(815) 693-2075
Mailing address
675 PARK AVE, GENOA, IL 60135-1100
(815) 693-2075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016412
IL
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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