Individual provider · Type 1 NPI
Angel V. Genereau, LMT
Massage Therapist · La Grange, IL
NPI number
1790900686
Active
Practice location
7273 Flagg Creek Dr
La Grange, IL 60525-5307
Fax (866) 483-0652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mechanotherapist | 172M00000X | 227004283 (IL) |
| Massage Therapist Primary | 225700000X | 227004283 (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 La Grange
About NPI 1790900686
Angel V. Genereau, LMT's National Provider Identifier is 1790900686, issued on Apr 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Grange, IL. The record was last updated on Jul 16, 2009.