Individual provider · Type 1 NPI
Amanda L. Klimczak, LMT
Massage Therapist · Berwyn, IL
NPI number
1003415001
Active
Practice location
1231 Ridgeland Ave
Berwyn, IL 60402-1142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227005982 (IL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003415001
Amanda L. Klimczak, LMT's National Provider Identifier is 1003415001, issued on Oct 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Berwyn, IL. The record was last updated on Oct 21, 2020.