Individual provider · Type 1 NPI
Kelli Boehning
Massage Therapist · Rockford, IL
NPI number
1366744963
Active
Practice location
429 Phelps Ave, Bldg. 7 Ste. 711
Rockford, IL 61108-2493
Mailing address
1111 Parkside Dr
Rockford, IL 61108-3871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227002068 (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.
Another provider at this address
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About NPI 1366744963
Kelli Boehning's National Provider Identifier is 1366744963, issued on Dec 2, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Jun 19, 2013.