Individual provider · Type 1 NPI

Ellen Wildman

Massage Therapist · Chicago, IL

NPI number 1679972863 Active

Practice location

5239 N Clark St, 2nd Floor
Chicago, IL 60640-2122

Call (773) 334-7440 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.000470 (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 1679972863

Ellen Wildman's National Provider Identifier is 1679972863, issued on Aug 14, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Aug 14, 2014.