MEDICARE: LA TANYA DURANT 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	227.018160	IL

General Provider Information

NPI Number	:	1922532332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LA TANYA DURANT LMT

Provider Business Mailing Address
First Line	:	1 E NORTHWEST HWY STE 213
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-1700
Country	:	US
Telephone Number	:	224-836-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E NORTHWEST HWY STE 213
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-1700
Country	:	US
Telephone Number	:	224-836-1160
Fax Number	:

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

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	03/19/2026

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