NPI 1003205899

Candice Marie Domke-Hochberg, LMTNCBTMB

Practitioner Massage Therapist Bloomingdale, IL

Practice location

Address: 220 Lakeshore Ln, Bloomingdale, IL 60108-1951
Phone: (630) 235-3170

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.004955 (IL)

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Registry record

NPI: 1003205899
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.