person
Tonya Lyshonna Ballard
Massage Therapist in Chicago, Illinois
NPI 1073147625

Tonya Lyshonna Ballard is a Massage Therapist based in Chicago, IL. Tonya Lyshonna Ballard practices in Chicago, IL. The NPI Number for Tonya Lyshonna Ballard is 1073147625 and holds a License No. 227.019064 (Illinois).

The current practice location address for Tonya Lyshonna Ballard is 7718 S Cornell Ave Fl 2, Chicago, IL and can be reached out via phone at 573-528-9260.

Location: 7718 S Cornell Ave Fl 2, Chicago, IL, 60649-4510
person
Provider Profile Details
NPI Number
1073147625
Provider Name
Tonya Lyshonna Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
7718 S Cornell Ave Fl 2, Chicago, IL, 60649-4510
Phone Number
573-528-9260
Fax Number
Provider Enumeration Date
02/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7718 S Cornell Ave Fl 2
City
State
Zip
60649-4510
Phone Number
573-528-9260
Fax Number
person
Provider Business Mailing Address Details
Address
7718 S Cornell Ave Fl 2
City
State
Zip
60649-4510
Phone Number
573-528-9260
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.019064 (Illinois)
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.
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