Joyce Detrich, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227006915 Issued in IL

Practice address

4007 N Broadway St
204
Chicago, IL 60613-6074

Phone

(773) 678-4002

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1669739165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 W CUYLER AVE",
            "address_2": "332",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133281",
            "telephone_number": "773-678-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 N BROADWAY ST",
            "address_2": "204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136074",
            "telephone_number": "773-678-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICH",
        "first_name": "JOYCE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227006915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Sieve Deters, M.D.
• Tara Jane Dethmers, APRN, CNM
• Luke Detloff
• Gina L Detmer, M.D.
• Wayne M Detmer, M.D.
• Deborah Lynn Dettman, LCSW, LICSW, SUDP
• Jamine L Dettmering, BCBA
• Julia Debra Dettner
• Linda Deubel, LCPC
• Jose Rafael Deurrutia, M.D.

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.