Massage Therapy Centers of America, INC

NPI #1073865234 in Chicago, Illinois

Provider Information

NPI Number: 1073865234
Entity Type: Organization
Organization Name: Massage Therapy Centers of America, INC
Primary Specialty: Specialist
Enumeration Date: Oct 11, 2012
Last Updated: Oct 11, 2012

Practice Location

Address: 747 NORTH LASALLE DR
Address 2: 3RD FLOOR
City: Chicago
State: Illinois
ZIP Code: 60654
Phone: (312) 854-2834

Authorized Official

Name: EMMANUEL BISTAS, LMT, MBA
Title: PRESIDENT
Phone: (312) 854-2834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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