Individual provider · Type 1 NPI
Richard Mark Van Derveer, LMT
Massage Therapist · Oakwood Hills, IL
NPI number
1811268329
Active
Practice location
5506 Oakwood Dr
Oakwood Hills, IL 60013-1081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.005080 (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.
About NPI 1811268329
Richard Mark Van Derveer, LMT's National Provider Identifier is 1811268329, issued on Jan 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oakwood Hills, IL. The record was last updated on Jan 16, 2012.