Andrea Reyes
Individual provider Active NPI Massage Therapist · Wood Dale, IL
NPI 1477960896 · NPPES record last updated Jul 17, 2014
Key facts
- NPI
- 1477960896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227.013362 (IL)
- Practice address
- 199 S Addison Rd
Wood Dale, IL 60191-1929 - Phone
- (630) 766-1552
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 227.013362 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Neuro & Physical Rehabilitation LTD | Past | Accepting new patients | |
| Neurologic Wellness Institute PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.013362 | IL | Yes |
Addresses
Primary practice location
199 S Addison Rd
Wood Dale, IL 60191-1929
Mailing address
199 S Addison Rd
Wood Dale, IL 60191-1929
Phone (630) 766-1552
Other providers in Wood Dale, IL
- Maryam Rauf
- Zeeshan Rauf
- Remington Molecular Woodale LLC
- Lyra Repplinger
- Revolution Acupuncture & Herbs
- Kayla L Ryan
- Raquel Sandoval
- Barbara Irena Sasik
- Monica Schebil
- Nicholas Schmidlkofer
All providers in Wood Dale, 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 Jul 17, 2014. 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.