Most Relevant Information
Provider Data
| NPI Number: | 1003415001 |
| Provider Name: | AMANDA L KLIMCZAK LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227005982 |
Most Important Dates
| Enumeration Date: | 10/21/2020 |
| Last Updated: | 10/21/2020 |
Provider Practice Location
1231 RIDGELAND AVE
BERWYN
IL
604021142
Practice Location Phone/Fax
| Phone: | 7739884013 |
| Fax: |
Provider Mailing Location
1231 RIDGELAND AVE
BERWYN
IL
604021142
Provider Mailing Phone/Fax
| Phone: | 7739884013 |
| Fax: |