Nicole Rogers, LMT

NPI #1902446859 in Flossmoor, Illinois

Provider Information

NPI Number: 1902446859
Entity Type: Individual
Name: Nicole Rogers, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 8, 2020
Last Updated: Jan 8, 2020

Practice Location

Address: 19815 GOVERNORS HWY STE 1A
City: Flossmoor
State: Illinois
ZIP Code: 60422-4321
Phone: (708) 927-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X
Massage Therapist	225700000X	Primary

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