Individual provider · Type 1 NPI

Michelle L. Carlson, LMT

Massage Therapist · Peoria, IL

NPI number 1447659008 Active

Practice location

3322 W Willow Knolls Dr, Suite B
Peoria, IL 61614-8148

Call (309) 690-3322 Map

Mailing address

1637 W Clarewood Ave
Peoria, IL 61614-5736

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2980-146 (WI)

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 1447659008

Michelle L. Carlson, LMT's National Provider Identifier is 1447659008, issued on Aug 20, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Peoria, IL. The record was last updated on Aug 20, 2014.