NPI 1720495831

Laura Beth Allen, LMT

Practitioner Mechanotherapist Crestwood, IL

Practice location

Address: 13703 Cicero Ave, Crestwood, IL 60445-1824
Phone: (708) 385-4416

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 227.009317 (IL)

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Registry record

NPI: 1720495831
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2014
Record last updated: 21 Jul 2014

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.