KEITH DESTEFANO LMT
NPI 1730596370
Massage Therapist in Hillside, IL

Q: What is Keith Destefano's NPI number?

The NPI number for Keith Destefano is 1730596370. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Q: What is Keith Destefano's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Destefano was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2014

320 HIGH RIDGE RD, HILLSIDE, IL 60162(708) 420-8923 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keith Destefano Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH DESTEFANO LMT (NPI 1730596370) is an individual massage therapist in Hillside, Illinois, licensed in Illinois (227013561) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1730596370

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameKEITH DESTEFANOCredential: LMT

Location Address320 HIGH RIDGE RDHillside, IL 60162-1621

Mailing Address320 High Ridge RdHillside, IL 60162-1621 · (708) 420-8923

Phone(708) 420-8923

Sole ProprietorYes

Enumeration DateJuly 15, 2014

✔ NPI 1730596370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in IL · 227013561

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

320 HIGH RIDGE RD, Hillside, IL 60162

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Destefano's NPI number?

The NPI number for Keith Destefano is 1730596370. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Keith Destefano located?

Keith Destefano practices at 320 High Ridge Rd, Hillside, IL 60162. The listed phone number is (708) 420-8923.

What is Keith Destefano's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keith Destefano was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.