| Mr Luis Manuel Rivera Jr, MS, LMT | |
|
2219 N Lawndale Ave, Chicago, IL 60647-2307 | |
| (404) 784-1233 | |
| Not Available |
| Full Name | Mr Luis Manuel Rivera Jr |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2219 N Lawndale Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396263158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227009205 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Luis Manuel Rivera Jr, MS, LMT 2219 N Lawndale Ave, Chicago, IL 60647-2307 Ph: (404) 784-1233 | Mr Luis Manuel Rivera Jr, MS, LMT 2219 N Lawndale Ave, Chicago, IL 60647-2307 Ph: (404) 784-1233 |
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