Provider Demographics
NPI:1245646447
Name:TOUCHETTE, HOPE L (LMT, ERYT)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:L
Last Name:TOUCHETTE
Suffix:
Gender:F
Credentials:LMT, ERYT
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:L
Other - Last Name:GOLDSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ERYT
Mailing Address - Street 1:419 PARK LN
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-2322
Mailing Address - Country:US
Mailing Address - Phone:414-916-2594
Mailing Address - Fax:
Practice Address - Street 1:419 PARK LN
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-2322
Practice Address - Country:US
Practice Address - Phone:414-916-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL17660174400000X
IL227.016798225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174400000XOther Service ProvidersSpecialist