Individual provider · Type 1 NPI

Jamie Lynn Fanara, JAMIE FANARA, LCMT

Massage Therapist · Rockford, IL

NPI number 1174813398 Active

Practice location

461 N. Mulford Road, Unit 8
Rockford, IL 61107

Call (815) 977-4743 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.005581 (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 1174813398

Jamie Lynn Fanara, JAMIE FANARA, LCMT's National Provider Identifier is 1174813398, issued on Apr 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Apr 8, 2011.