NPI 1538926340

Sophie Bonner, LMT

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

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227000263 (IL)

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Registry record

NPI: 1538926340
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2024
Record last updated: 28 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.