Ashley Broadnax
Individual provider Active NPI Massage Therapist · Matteson, IL
NPI 1336095181 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1336095181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 4747 Lincoln Mall Dr Ste 600
Matteson, IL 60443-3817 - Phone
- (312) 622-7975
- NPI assigned
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
4747 Lincoln Mall Dr Ste 600
Matteson, IL 60443-3817
Mailing address
4747 Lincoln Mall Dr Ste 600
Matteson, IL 60443-3817
Phone (312) 622-7975
Other providers in Matteson, IL
- Paula Bost
- Sherri Bracken
- Rossley Bradley
- Sarah Marie Brandt
- Amanda Briick
- Janna F Brockman
- Natasha Brown Harris
- Marcene P Brown
- Katelyn Bruni
- Saundra Brunson
All providers in Matteson, 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 Mar 5, 2026. 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.