Individual provider · Type 1 NPI

Joyce Detrich, LMT

Massage Therapist · Chicago, IL

NPI number 1669739165 Active

Practice location

4007 N Broadway St, 204
Chicago, IL 60613-6074

Call (773) 678-4002 Map

Mailing address

824 W Cuyler Ave, 332
Chicago, IL 60613-3281

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227006915 (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 1669739165

Joyce Detrich, LMT's National Provider Identifier is 1669739165, issued on Apr 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Apr 20, 2012.