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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone 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 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.