MEDICARE: TERESA GOESS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist		IL

General Provider Information

NPI Number	:	1396883088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA GOESS LMT

Provider Business Mailing Address
First Line	:	1125 APRICOT ST
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60195-3732
Country	:	US
Telephone Number	:	847-409-5597
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 APRICOT ST
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60195-3732
Country	:	US
Telephone Number	:	847-409-5597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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