MRS. Emma Macniak, LMT

NPI #1053795492 in Volo, Illinois

Provider Information

NPI Number: 1053795492
Entity Type: Individual
Name: MRS. Emma Macniak, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 31632 N ELLIS DR
Address 2: UNIT 107
City: Volo
State: Illinois
ZIP Code: 60073-9671
Phone: (312) 203-7939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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