| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JERICA N MAYO | 1063028553 | 2020-09-20 |
Jerica N Mayo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063028553. Registration indicates Jerica N Mayo is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Jerica N Mayo MASSAGE THERAPIST |
| Practice Office Address | 9430 S LOOMIS ST # 9 CHICAGO, IL US |
| Practice Office Telephone | 7736838502 |
| Mailing Address | 9430 S LOOMIS ST # 9 CHICAGO, IL 606203615 US |
| Business Telephone | 7736838502 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 227.020227
IL |