Individual provider · Type 1 NPI

Robin J. Debenedetto, LMT, MMP

Massage Therapist · Rockford, IL

NPI number 1578852216 Active

Practice location

4967 Cardamon Ln
Rockford, IL 61114-5323

Call (815) 540-2467 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.007262 (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 1578852216

Robin J. Debenedetto, LMT, MMP's National Provider Identifier is 1578852216, issued on Apr 4, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Apr 4, 2011.