Individual provider · Type 1 NPI

Mary James, COTA/L, LMT

Massage Therapist · Rockford, IL

NPI number 1659974731 Active

Practice location

6778 Mill Rd Ste 300
Rockford, IL 61108-2502

Call (815) 739-0793 Map

Mailing address

737 W Il Route 64
Oregon, IL 61061-9352

Other practice locations

  • 18573 Pennington Rd, Sterling, IL 61081-9505 · (815) 739-0793

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227021164 (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.

2 other providers at this address

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About NPI 1659974731

Mary James, COTA/L, LMT's National Provider Identifier is 1659974731, issued on Nov 19, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Nov 19, 2020.