Individual provider · Type 1 NPI
Keith Destefano, LMT
Massage Therapist · Hillside, IL
NPI number
1730596370
Active
Practice location
320 High Ridge Rd
Hillside, IL 60162-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227013561 (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.
Other massage therapist providers in Hillside
About NPI 1730596370
Keith Destefano, LMT's National Provider Identifier is 1730596370, issued on Jul 15, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hillside, IL. The record was last updated on Jul 15, 2014.