Individual provider · Type 1 NPI

Abiodun Emmanuel Oludaisi

Massage Therapist · Crystal Lake, IL

NPI number 1811604150 Active

Practice location

455 Coventry Ln Ste 107/107A
Crystal Lake, IL 60014-7571

Fax (779) 356-4020

Mailing address

545 Sandy Ct
Harvard, IL 60033-7803

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227022762 (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 1811604150

Abiodun Emmanuel Oludaisi's National Provider Identifier is 1811604150, issued on Nov 4, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jan 2, 2025.