Lori Kedzie is a Massage Therapist based in Dekalb, IL. Lori Kedzie practices in Dekalb, IL. The NPI Number for Lori Kedzie is 1598202772 and holds a License No. 227.010352 (Illinois).
The current practice location address for Lori Kedzie is 650 N Peace Rd Ste C, Dekalb, IL and can be reached out via phone at 815-748-7236.
Location: 650 N Peace Rd Ste C, Dekalb, IL, 60115-8401
Provider Profile Details
NPI Number
1598202772
Provider Name
Lori Kedzie
Credential
Provider Entity Type
Individual
Gender
Female
Address
650 N Peace Rd Ste C, Dekalb, IL, 60115-8401
Phone Number
815-748-7236
Fax Number
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | 01 | N/A |
Provider Business Practice Location Address Details
Address
650 N Peace Rd Ste C
City
State
Zip
60115-8401
Phone Number
815-748-7236
Fax Number
Provider Business Mailing Address Details
Address
650 N Peace Rd Ste C
City
State
Zip
60115-8401
Phone Number
815-748-7236
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.010352 (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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