Jennifer N McGowen, LMBT
Massage Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1053201673
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1053201673
- Entity type
- Individual (NPI-1)
- Name
- Jennifer N McGowen
- Credential
- LMBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 227024275 | IL | Yes |
Practice location
650 N Dearborn St Ste 800Chicago, IL 60654-3874
Phone 910-271-0117
Mailing address
1659 S California Ave Unit 1Chicago, IL 60608-2165
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