Individual provider · Type 1 NPI
Pandy M. Olmstead
Massage Therapist · Lake Forest, IL
NPI number
1619174471
Active
Practice location
153 E Laurel Ave, #203
Lake Forest, IL 60045-5407
Fax (847) 735-9611
Mailing address
736 N Western Ave, #319
Lake Forest, IL 60045-1820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 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.
Other massage therapist providers in Lake Forest
About NPI 1619174471
Pandy M. Olmstead's National Provider Identifier is 1619174471, issued on Jun 27, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Forest, IL. The record was last updated on Jul 8, 2007.