Doctor Name: | RACHEL ITANO |
NPI Number: | 1720351257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 227.010063 |
Business Practice Address: | 1117 Emerson St Evanston, IL - 602013131 |
Business Phone Number: | 8478691773 |
Business Fax Number: | 8478692733 |
Mailing Address: | 1281 Deerfield Pkwy, 304 BUFFALO GROVE |
State: | IL |
Postal Code: | 600894588 |
Phone Number: | 6305617713 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.010063 |
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. |