Humberto Medina JR., ATC, LMT
NPI #1366800476 in South Elgin, Illinois
Provider Information
- NPI Number
- 1366800476
- Entity Type
- Individual
- Name
- Humberto Medina JR., ATC, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- ATC, LMT
- Enumeration Date
- Feb 3, 2016
- Last Updated
- Feb 3, 2016
Practice Location
- Address
- 721 HOBART DR UNIT A
- City
- South Elgin
- State
- Illinois
- ZIP Code
- 60177-3082
- Phone
- (630) 508-2386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Massage Therapist |
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