Individual provider · Type 1 NPI
Humberto Medina Jr., ATC, LMT
Massage Therapist · South Elgin, IL
NPI number
1366800476
Active
Practice location
721 Hobart Dr Unit A
South Elgin, IL 60177-3082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 096.001490 (IL) |
| Massage Therapist Primary | 225700000X | 227.014634 (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.
Other massage therapist providers in South Elgin
About NPI 1366800476
Humberto Medina Jr., ATC, LMT's National Provider Identifier is 1366800476, issued on Feb 3, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Elgin, IL. The record was last updated on Feb 3, 2016.