| Ms Davina Harris, LMT | |
|
8364 W. Grand Avenue, River Grove, IL 60171 | |
| (708) 452-5686 | |
| (708) 452-1648 |
| Full Name | Ms Davina Harris |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 8364 W. Grand Avenue, River Grove, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063890283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227001945 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Davina Harris, LMT Po Box 3176, Oak Park, IL 60303-3176 Ph: (773) 350-5023 | Ms Davina Harris, LMT 8364 W. Grand Avenue, River Grove, IL 60171 Ph: (708) 452-5686 |
Ms. Danuta B Superson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8364 W Grand Ave, River Grove, IL 60171 Phone: 708-452-5686 Fax: 708-452-1648 | |
Izabela S Fratczak, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8364 Grand Ave, River Grove, IL 60171 Phone: 708-452-5686 |