Doctor Name: | JANET MOFFAT |
NPI Number: | 1326447061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 227.014949 |
Business Practice Address: | 960 Victoria St Antioch, IL - 600021519 |
Business Phone Number: | 8478380688 |
Business Fax Number: | 8478380690 |
Mailing Address: | 960 Victoria St, ANTIOCH |
State: | IL |
Postal Code: | 600021519 |
Phone Number: | 8478380688 |
Fax Number: | 8478380690 |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.014949 |
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. |