Individual provider · Type 1 NPI

Fara Maniaci, L.M.T.

Massage Therapist · Dekalb, IL

NPI number 1184016990 Active

Practice location

3266 Resource Parkway
Dekalb, IL 60115

Fax (815) 756-1841

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227016940 (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 1184016990

Fara Maniaci, L.M.T.'s National Provider Identifier is 1184016990, issued on Mar 3, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dekalb, IL. The record was last updated on Mar 3, 2015.