NPI 1538741376

Krisha L Wilson- Fridge, LMT

Practitioner Massage Therapist Lombard, IL

Practice location

Address: 200 E Roosevelt Rd APT 514, Lombard, IL 60148-4539
Phone: (773) 920-0205

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.009496 (IL)

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Registry record

NPI: 1538741376
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2021
Record last updated: 21 Apr 2021

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.