Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeri Frederickson, LMT, MLD

Individual provider Massage Therapist · NPI 1619792165

Jeri Frederickson, LMT, MLD is a Massage Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone: (773) 598-4387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.023218 (IL)

Record details

NPI number1619792165
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , MLD
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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