Most Relevant Information
Provider Data
| NPI Number: | 1003205899 |
| Provider Name: | CANDICE MARIE DOMKE-HOCHBERG LMT,NCBTMB |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227.004955 |
Most Important Dates
| Enumeration Date: | 01/15/2015 |
| Last Updated: | 01/15/2015 |
Provider Practice Location
220 LAKESHORE LN
BLOOMINGDALE
IL
601081951
Practice Location Phone/Fax
| Phone: | 6302353170 |
| Fax: |
Provider Mailing Location
220 LAKESHORE LN
BLOOMINGDALE
IL
601081951
Provider Mailing Phone/Fax
| Phone: | 6302353170 |
| Fax: |