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Diamond Dawn Shepard, LMT
Massage Therapist in Hazel Crest, Illinois
NPI 1083344212

Diamond Dawn Shepard is a Massage Therapist based in Hazel Crest, IL. Diamond Dawn Shepard practices in Hazel Crest, IL and has the professional credentials of LMT. The NPI Number for Diamond Dawn Shepard is 1083344212 and holds a License No. 227022203 (Illinois).

The current practice location address for Diamond Dawn Shepard is 17004 Novak Dr, Hazel Crest, IL and can be reached out via phone at 708-739-6990.

Location: 17004 Novak Dr, Hazel Crest, IL, 60429-1156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083344212
Provider Name
Diamond Dawn Shepard
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
17004 Novak Dr, Hazel Crest, IL, 60429-1156
Phone Number
708-739-6990
Fax Number
Provider Enumeration Date
06/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17004 Novak Dr
City
Hazel Crest
State
Illinois
Zip
60429-1156
Phone Number
708-739-6990
Fax Number
person
Provider Business Mailing Address Details
Address
17004 Novak Dr
City
Hazel Crest
State
Illinois
Zip
60429-1156
Phone Number
708-739-6990
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227022203 (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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