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Keith Destefano, LMT
NPI 1730596370 · on the registry since 2014 · sole proprietor
Practice
- Address
- 320 High Ridge Rd
Hillside, IL 60162 - Phone
- (708) 420-8923
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois