LORI KEDZIE NPI 1598202772

NPI Information

NPI: 1598202772
Provider Name: LORI KEDZIE
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
650 N PEACE RD STE C
DEKALB, IL
ZIP 60115
Phone: (815) 748-7236
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Lori Kedzie is a massage therapist in Dekalb, 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. Lori Kedzie NPI is 1598202772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 N PEACE RD STE C
DEKALB, IL
ZIP 60115-401
Phone: (815) 748-7236

The enumeration date for this NPI number is 1/25/2017 and was last updated on 1/25/2017.

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		227.010352	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N/A	OTHER		N/A

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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