ENLIVEN WELLNESS CENTER LLC NPI 1003223157

NPI Information

ENLIVEN WELLNESS CENTER LLC is a massage therapist in Chicago, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. ENLIVEN WELLNESS CENTER LLC NPI is 1003223157. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Massage Evolved.

The provider's business location address is:

118 N CLINTON ST
SUITE 102
CHICAGO, IL
ZIP 60661-386
Phone: (773) 738-7146
Fax: (312) 488-4628

The provider's authorized official is Ruby Botello .
The authorized official title is President and has the following contact phone number (773) 738-7146.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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