Amy Heather Bochenek, LMT
Individual provider Active NPI Massage Therapist · Dekalb, IL
NPI 1740005487 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1740005487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227.010883 (IL)
- Practice address
- 2727 Sycamore Rd
Dekalb, IL 60115-9204 - Phone
- (630) 933-1500
- NPI assigned
- Nov 18, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.010883 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.010883 | IL | Yes |
Addresses
Primary practice location
2727 Sycamore Rd
Dekalb, IL 60115-9204
Mailing address
2727 Sycamore Rd
Dekalb, IL 60115-9204
Phone (630) 933-1500
Other names
- Amy Heather Burr
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. 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.