Individual provider · Type 1 NPI

Jamie Janine Weisse, LMT

Massage Therapist · Loves Park, IL

NPI number 1508150665 Active

Practice location

510 E Riverside Blvd
Loves Park, IL 61111-4632

Mailing address

4251 Shorewood Dr
Rockford, IL 61101-9368

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.001061 (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 1508150665

Jamie Janine Weisse, LMT's National Provider Identifier is 1508150665, issued on Jun 7, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Loves Park, IL. The record was last updated on Jun 7, 2011.