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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.023218 (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.