NPI 1669718441

Kelly Ann Kawczynski, MASSAGETHERAPIST

Practitioner Massage Therapist Park Ridge, IL

Practice location

Address: 1420 N Northwest Hwy Suite 411, Park Ridge, IL 60068-1310
Phone: (708) 945-9639

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227012018 (IL)

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Registry record

NPI: 1669718441
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2012
Record last updated: 22 Dec 2012

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.