Individual provider · Type 1 NPI
Kimberly A. Goodnite, LMT
Massage Therapist · Pecatonica, IL
NPI number
1154638542
Active
Practice location
427 Main St
Pecatonica, IL 61063-7737
Fax (815) 239-2766
Mailing address
PO Box 699
Pecatonica, IL 61063-0699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227011185 (IL) |
Massage Therapist: 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.
3 other providers at this address
About NPI 1154638542
Kimberly A. Goodnite, LMT's National Provider Identifier is 1154638542, issued on Sep 7, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pecatonica, IL. The record was last updated on Sep 7, 2010.