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

Sandra Juel Black, LMT

Individual provider Massage Therapist · NPI 1104206598

Sandra Juel Black, LMT is a Massage Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Iowa and Illinois.

Licensed in
IA, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2052 N Cleveland Ave Gdn Ste
Chicago, IL 60614-4505
Phone: (773) 281-2225
Fax: (773) 281-2226
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Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.005112 (IL)
Massage Therapist Taxonomy 225700000X · Licence 006290 (IA)

Record details

NPI number1104206598
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 1, 2015
Last updated in NPPESJune 1, 2015
Mailing addressPo Box 371, Shell Rock, IA 50670-0371

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