Individual provider · Type 1 NPI

Marquita S. Powell

Massage Therapist · Lansing, IL

NPI number 1275976102 Active

Practice location

3232 Ridge Rd
Lansing, IL 60438-3127

Mailing address

17558 Burnham Ave
Lansing, IL 60438-1906

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801XNone listed
Massage Therapist Primary 225700000X227014239 (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 1275976102

Marquita S. Powell's National Provider Identifier is 1275976102, issued on Apr 10, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lansing, IL. The record was last updated on Oct 27, 2021.