Doctor Name: | LORI LYNN SPENCER |
NPI Number: | 1659547164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 227-003030 |
Business Practice Address: | 141 W Jackson Blvd Suite A 20 Chicago, IL - 606042929 |
Business Phone Number: | 3126360440 |
Business Fax Number: | |
Mailing Address: | 141 W Jackson Blvd, Suite A 20 CHICAGO |
State: | IL |
Postal Code: | 606042929 |
Phone Number: | 3126360440 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227-003030 |
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. |