NPI 1003671454

John Lopez, LMTMLDTMMP

Practitioner Massage Therapist Lombard, IL

Practice location

Address: 1910 S Highland Ave STE 260, Lombard, IL 60148-6129
Phone: (630) 776-3043
Fax: (630) 929-1390
Mailing address: 1311 S Finley Rd APT 313, Lombard, IL 60148-4356

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.020840 (IL)

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Registry record

NPI: 1003671454
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2024
Record last updated: 15 Feb 2024

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.