Keith Destefano, LMT

NPI #1730596370 in Hillside, Illinois

Provider Information

NPI Number
1730596370
Entity Type
Individual
Name
Keith Destefano, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jul 15, 2014
Last Updated
Jul 15, 2014

Practice Location

Address
320 HIGH RIDGE RD
ZIP Code
60162-1621
Phone
(708) 420-8923

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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