Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH DESTEFANO, LMT
Active Sole ProprietorKEITH DESTEFANO, LMT is a Massage Therapist healthcare provider located in HILLSIDE, Illinois. NPI 1730596370 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HILLSIDE, IL
Registration Details
- NPI Number
- 1730596370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2014 (12.062310811566 yrs)
- Last Updated
- Jul 15, 2014
- License
-
227013561 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 HIGH RIDGE RDHILLSIDE, IL, 601621621Browse IL providers · Browse ZIP 60162
- Phone
- 7084208923
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in HILLSIDE, IL
| Name | Credential | NPI |
|---|---|---|
| ANNA KUCZAJ | — | 1194126409 |
| KISHA DANIEL | LMT | 1225736150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.