Kisha Daniel, LMT

NPI #1225736150 in Hillside, Illinois

Provider Information

NPI Number: 1225736150
Entity Type: Individual
Name: Kisha Daniel, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 20, 2023
Last Updated: Feb 20, 2023

Practice Location

Address: 4413 ROOSEVELT RD STE 100
City: Hillside
State: Illinois
ZIP Code: 60162-2057
Phone: (773) 425-1201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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