Individual provider · Type 1 NPI

Mallory King, LMT

Massage Therapist · Bannockburn, IL

NPI number 1154690089 Active

Practice location

2211 Waukegan Rd
Bannockburn, IL 60015-1570

Call (847) 267-8600 Map

Fax (847) 267-9520

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227012722 (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.

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About NPI 1154690089

Mallory King, LMT's National Provider Identifier is 1154690089, issued on Dec 21, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bannockburn, IL. The record was last updated on Dec 21, 2011.