Individual provider · Type 1 NPI

Jeri Frederickson, LMT, MLD

Massage Therapist · Chicago, IL

NPI number 1619792165 Active

Practice location

4555 N Lincoln Ave
Chicago, IL 60625-2102

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.023218 (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 1619792165

Jeri Frederickson, LMT, MLD's National Provider Identifier is 1619792165, issued on Nov 19, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Nov 19, 2024.