MR. Charles Elbert Newman, L.M.T.

NPI #1891895991 in South Holland, Illinois

Provider Information

NPI Number: 1891895991
Entity Type: Individual
Name: MR. Charles Elbert Newman, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1225 E 168TH ST
City: South Holland
State: Illinois
ZIP Code: 60473-3259
Phone: (708) 932-8782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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