Individual provider · Type 1 NPI

Constance J. Ellis, LMT

Massage Therapist · Rockford, IL

NPI number 1902516339 Active

Practice location

3405 Arline Ave
Rockford, IL 61101-3210

Call (815) 669-0475 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22714984 (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 1902516339

Constance J. Ellis, LMT's National Provider Identifier is 1902516339, issued on Nov 28, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Nov 28, 2022.