Jesse Taylor, LMT

NPI #1861853723 in Blue Island, Illinois

Provider Information

NPI Number: 1861853723
Entity Type: Individual
Name: Jesse Taylor, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 18, 2016
Last Updated: Mar 18, 2016

Practice Location

Address: 13100 GREENWOOD AVE
City: Blue Island
State: Illinois
ZIP Code: 60406-2308
Phone: (847) 532-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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