NPI 1003577784

Jose Raul Aguirre

Practitioner Massage Therapist Berwyn, IL

Practice location

Address: 2627 Euclid Ave, Berwyn, IL 60402-2519
Phone: (872) 333-4356

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.019052 (IL)

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Registry record

NPI: 1003577784
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2022
Record last updated: 5 Jan 2022

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.