Individual provider · Type 1 NPI
Deneace Martin, LMT, MMT
Massage Therapist · Chicago, IL
NPI number
1609139880
Active
Practice location
845 N Michigan Ave, Ste 922 East
Chicago, IL 60611-2252
Mailing address
2945 W Gregory St
Chicago, IL 60625-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.002625 (IL) |
| Doula | 374J00000X | None listed |
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 1609139880
Deneace Martin, LMT, MMT's National Provider Identifier is 1609139880, issued on Jun 21, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Mar 3, 2015.