Doctor Name: | MR. MICHAEL STEVEN GREENFIELD |
NPI Number: | 1053640896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT MMP |
License Number: | 227.002789 |
Business Practice Address: | 3915 Thornberry Way Lake In The Hills, IL - 601564626 |
Business Phone Number: | 8473389180 |
Business Fax Number: | 8478541106 |
Mailing Address: | Po Box 1382, CRYSTAL LAKE |
State: | IL |
Postal Code: | 600391382 |
Phone Number: | 8473389180 |
Fax Number: | 8478541106 |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.002789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |