AGATA M FOREMAN NPI 1689292278

NPI Information

NPI: 1689292278
Provider Name: AGATA M FOREMAN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
333 COMMERCE DR STE 175
CRYSTAL LAKE, IL
ZIP 60014
Phone: (224) 704-9218
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Agata M Foreman is a massage therapist in Crystal Lake, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Agata M Foreman NPI is 1689292278. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 COMMERCE DR STE 175
CRYSTAL LAKE, IL
ZIP 60014-596
Phone: (224) 704-9218

The enumeration date for this NPI number is 7/9/2020 and was last updated on 7/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		02.021803	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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