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Keith Destefano, LMT
Massage Therapist in Hillside, Illinois
NPI 1730596370

Keith Destefano is a Massage Therapist based in Hillside, IL. Keith Destefano practices in Hillside, IL and has the professional credentials of LMT. The NPI Number for Keith Destefano is 1730596370 and holds a License No. 227013561 (Illinois).

The current practice location address for Keith Destefano is 320 High Ridge Rd, Hillside, IL and can be reached out via phone at 708-420-8923.

Location: 320 High Ridge Rd, Hillside, IL, 60162-1621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730596370
Provider Name
Keith Destefano
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
320 High Ridge Rd, Hillside, IL, 60162-1621
Phone Number
708-420-8923
Fax Number
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 High Ridge Rd
City
Hillside
State
Illinois
Zip
60162-1621
Phone Number
708-420-8923
Fax Number
person
Provider Business Mailing Address Details
Address
320 High Ridge Rd
City
Hillside
State
Illinois
Zip
60162-1621
Phone Number
708-420-8923
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227013561 (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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