Brianne Kathryn Boettcher

NPI #1326652017 in Lockport, Illinois

Provider Information

NPI Number: 1326652017
Entity Type: Individual
Name: Brianne Kathryn Boettcher
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 100 MACGREGOR RD
City: Lockport
State: Illinois
ZIP Code: 60441-2712
Phone: (708) 218-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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