Individual provider · Type 1 NPI

Tamara Nicklas, LMT

Massage Therapist · Northfield, IL

NPI number 1508458159 Active

Practice location

310 N. Happ Rd, Ste 210
Northfield, IL 60093

Call (773) 492-1170 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227017315 (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 1508458159

Tamara Nicklas, LMT's National Provider Identifier is 1508458159, issued on Feb 5, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Northfield, IL. The record was last updated on Feb 5, 2021.