IndividualActive
Amanda Taylor
NPI 1154935633 · Massage Therapist · Chicago, IL
Provider details
- NPI number
- 1154935633
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227021528 (IL)
Practice location
529 W Fullerton Pkwy Apt 20
Chicago, IL 60614-5924
Phone: (847) 414-1443
Mailing address
529 W Fullerton Pkwy Apt 20
Chicago, IL 60614-5924
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.