Provider Demographics
NPI:1497306062
Name:THERAPEUTIC KNEADS, LTD.
Entity Type:Organization
Organization Name:THERAPEUTIC KNEADS, LTD.
Other - Org Name:THERAPEUTIC KNEADS, LTD.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:847-266-0131
Mailing Address - Street 1:1779 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3118
Mailing Address - Country:US
Mailing Address - Phone:847-266-0131
Mailing Address - Fax:847-266-0127
Practice Address - Street 1:1779 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3118
Practice Address - Country:US
Practice Address - Phone:847-266-0131
Practice Address - Fax:847-266-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL227-001829OtherILLINOIS STATE LICENSING BOARD