Functionally Balanced Bodywork Clinics, LLC
NPI #1497210850 in Evergreen Park, Illinois
Provider Information
- NPI Number
- 1497210850
- Entity Type
- Organization
- Organization Name
- Functionally Balanced Bodywork Clinics, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
Practice Location
- Address
- 3850 W 95TH ST FL 1
- City
- Evergreen Park
- State
- Illinois
- ZIP Code
- 60805-2006
- Phone
- (708) 529-7111
Authorized Official
- Name
- THERESA ROSE STARK, LMT, BCTMB
- Title
- OWNER
- Phone
- (773) 556-5333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Acupuncturist |
| Physical Therapy Assistant |
| Massage Therapist |
| Clinic/Center |
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