Doctor Name: | STEPHANIE NYMAN |
NPI Number: | 1063808178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 227.016740 |
Business Practice Address: | 127 W Prospect Ave Mount Prospect, IL - 600563135 |
Business Phone Number: | 8472552348 |
Business Fax Number: | 8472550308 |
Mailing Address: | 127 W Prospect Ave, MOUNT PROSPECT |
State: | IL |
Postal Code: | 600563135 |
Phone Number: | 8472552348 |
Fax Number: | 8472550308 |
NPI Enumeration Date: | 04/15/2015 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.016740 |
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. |