MRS. Karen Ellen Wiemer X, MASSAGE THERAPIST

NPI #1528445715 in Lockport, Illinois

Provider Information

NPI Number: 1528445715
Entity Type: Individual
Name: MRS. Karen Ellen Wiemer X, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Apr 27, 2015
Last Updated: Apr 29, 2015

Practice Location

Address: 16622 W 159TH ST
Address 2: SUITE 500
City: Lockport
State: Illinois
ZIP Code: 60441-8014
Phone: (815) 838-7746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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