Martina Schmidt, LMT
Individual provider Active NPI Massage Therapist · Fox Lake, IL
NPI 1205180239 · NPPES record last updated Oct 29, 2012
Key facts
- NPI
- 1205180239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227.004375 (IL)
- Practice address
- 7 S US Highway 12
Fox Lake, IL 60020-1744 - Phone
- (847) 973-9443
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.004375 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.004375 | IL | Yes |
Addresses
Primary practice location
7 S US Highway 12
Fox Lake, IL 60020-1744
Mailing address
PO Box 134
Fox Lake, IL 60020-0134
Phone (847) 973-9443
Other providers in Fox Lake, IL
- Jacquelyn Joyce Rognstad
- Esmeralda Roxas
- Stephen Rudawski
- Rosanna Valino Santos
- Boyana Scekic
- Michl Schmidt
- Crystal C Scholten
- Kirsten Nicole Schreiner
- Sharilee Shaver
- Caroline Shepherd
All providers in Fox Lake, IL · Massage Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.