IndividualActive
Angel Genereau, LMT
NPI 1790900686 · Massage Therapist · La Grange, IL
Provider details
- NPI number
- 1790900686
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 227004283 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Practice location
7273 Flagg Creek Dr
La Grange, IL 60525-5307
Phone: (312) 953-1424
Fax: (866) 483-0652
Approximate (ZIP-level) locationGet directions
Mailing address
7273 Flagg Creek Dr
La Grange, IL 60525-5307
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2009-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.