Individual provider · Type 1 NPI

Mary Clare Louise Kagan, LMT

Massage Therapist · Rockford, IL

NPI number 1154957918 Active

Practice location

3600 E State St
Rockford, IL 61108-1978

Call (815) 721-1378 Map

Mailing address

1512 Camp Ave
Rockford, IL 61103-6302

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1154957918

Mary Clare Louise Kagan, LMT's National Provider Identifier is 1154957918, issued on Mar 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Mar 12, 2020.