NPI 1205461241

Retina Cooley

Practitioner Massage Therapist Berwyn, IL

Practice location

Address: 6841 Cermak Rd STE 9, Berwyn, IL 60402-2259
Phone: (708) 232-3187

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.021432 (IL)

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Registry record

NPI: 1205461241
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2020
Record last updated: 10 Mar 2020

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.