Individual provider · Type 1 NPI

Mallary Blaire Hardin, LMT

Massage Therapist · Peoria, IL

NPI number 1215332283 Active

Practice location

2208 W Willow Knolls Rd
Peoria, IL 61614-1467

Call (309) 693-9600 Map

Fax (309) 693-3616

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.011362 (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 1215332283

Mallary Blaire Hardin, LMT's National Provider Identifier is 1215332283, issued on Nov 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Peoria, IL. The record was last updated on Nov 3, 2014.