Vicenta Bahena, L.M.T
Massage Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1699200410
StatusActive
Last updated in NPPESApr 30, 2017
Details
- NPI
- 1699200410
- Entity type
- Individual (NPI-1)
- Name
- Vicenta Bahena
- Credential
- L.M.T
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2017
- Last updated
- Apr 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 227.019424 | IL | Yes |
Practice location
2541 N Mango AveChicago, IL 60639-2314
Phone 773-787-6155
Mailing address
2541 N Mango AveChicago, IL 60639-2314
Phone 773-787-9137
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