| NPI | 1558294058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASSANEE FULLONE Owner 630-815-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |