NPI 1164648358

Charita Jones, LMTNCTMB

Practitioner Massage Therapist Glen Ellyn, IL

Practice location

Address: 930 Roosevelt Rd Suite 9, Glen Ellyn, IL 60137-7829
Phone: (630) 656-3265

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227005996 (IL)

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Registry record

NPI: 1164648358
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2007
Record last updated: 12 Apr 2010

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.