Doctor Name: | MS. TERRY LOE |
NPI Number: | 1528293214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, CMT |
License Number: | 227.007430 |
Business Practice Address: | 38813 N Drexel Blvd Antioch, IL - 600029788 |
Business Phone Number: | 8473952236 |
Business Fax Number: | 8473952236 |
Mailing Address: | 38813 N Drexel Blvd, ANTIOCH |
State: | IL |
Postal Code: | 600029788 |
Phone Number: | 8473952236 |
Fax Number: | 8473952236 |
NPI Enumeration Date: | 05/25/2009 |
NPI Last Update Date: | 05/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.007430 |
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. |