Nicole Tellez, LMT

NPI #1447788625 in Roselle, Illinois

Provider Information

NPI Number: 1447788625
Entity Type: Individual
Name: Nicole Tellez, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 31, 2017
Last Updated: May 31, 2017

Practice Location

Address: 490 LAKE ST
City: Roselle
State: Illinois
ZIP Code: 60172-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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