Colleen M Fitzpatrick-Grabow, LMT
Massage Therapist in Ottawa, IL. Individual provider (NPI-1).
NPI number1982125183
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982125183
- Entity type
- Individual (NPI-1)
- Name
- Colleen M Fitzpatrick-Grabow
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2017
- Certification date
- Oct 26, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 227.019512 | IL | Yes |
Practice location
620 Fillmore StOttawa, IL 61350-2772
Phone 815-313-9424
Mailing address
545 Illinois StMarseilles, IL 61341-1931
Phone 815-313-9424
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