Individual provider · Type 1 NPI

Jennifer Ann Evola, LMT, RD, LDN

Massage Therapist · Chicago, IL

NPI number 1790127645 Active

Practice location

1820 W Webster Ave, Unit 103
Chicago, IL 60614-2934

Call (773) 563-3863 Map

Fax (773) 697-9894

Mailing address

2933 N Clybourn Ave, Unit 201
Chicago, IL 60618-8191

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X164004717 (IL)
Massage Therapist Primary 225700000X227006133 (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 1790127645

Jennifer Ann Evola, LMT, RD, LDN's National Provider Identifier is 1790127645, issued on Jul 19, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Jul 19, 2013.