Sam Gao, LMT

NPI #1073930970 in Northfield, Illinois

Provider Information

NPI Number: 1073930970
Entity Type: Individual
Name: Sam Gao, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 28, 2014
Last Updated: Mar 28, 2014

Practice Location

Address: 1847 OAK ST
City: Northfield
State: Illinois
ZIP Code: 60093-3013
Phone: (847) 881-2861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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