Tammisha Jordan, Massage Therapist
Massage Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1124766084
StatusActive
Last updated in NPPESMay 21, 2022
Details
- NPI
- 1124766084
- Entity type
- Individual (NPI-1)
- Name
- Tammisha Jordan
- Credential
- Massage Therapist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2022
- Certification date
- May 21, 2022
- Last updated
- May 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
| 225700000X | Massage Therapist | 227022538 | IL |
Practice location
1716 N Linder AveChicago, IL 60639-4220
Phone 312-774-1144
Mailing address
1716 N Linder AveChicago, IL 60639-4220
Phone 312-774-1144
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