Individual provider · Type 1 NPI

Emmanuel Bistas, LMT

Massage Therapist · Chicago, IL

NPI number 1861243206 Active

Practice location

40 E Huron St Ste 200
Chicago, IL 60611-5244

Call (312) 493-1840 Map

Mailing address

21385 Georgetown Rd
Frankfort, IL 60423-3009

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227001888 (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 1861243206

Emmanuel Bistas, LMT's National Provider Identifier is 1861243206, issued on Apr 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chicago, IL. The record was last updated on Apr 1, 2024.