Kelly Gunderson
Kinesiotherapist Massage Therapist
3001 Green Bay Rd
North Chicago
, Illinois 60064-3048
Kelly Gunderson
Kinesiotherapist Massage Therapist
3001 Green Bay Rd
North Chicago
, Illinois 60064-3048
(224) 610-3706
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About
Features
Specialties
- Massage Therapist
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Kelly Gunderson
- 3001 Green Bay Rd
- North Chicago, IL
- Zip : 60064-3048
- Fax : (224) 610-3706
- Phone : (224) 610-4154
Second Address
- Kelly Gunderson
- 3001 Green Bay Rd
- North Chicago, IL
- Zip : 60064-3048
- Fax : (224) 610-3706
- Phone : (224) 610-4154
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FAQs
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In what state does Kelly Gunderson practice in?
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Is Kelly Gunderson a sole practitioner?
Is Kelly Gunderson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 4393-046 | WI |
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1750682720 |
|---|---|
| Provider Name | Kelly Gunderson |
| First Address | North Chicago, IL 60064-3048 |
| Second Address | North Chicago, IL 60064-3048 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2010 |
| Last Update Date | 10/09/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.