Individual provider · Type 1 NPI

Lucia Nichole Reynolds, LMT, BCTMB

Massage Therapist · Rockford, IL

NPI number 1922506005 Active

Practice location

2606 Broadway
Rockford, IL 61108-5768

Call (815) 397-3744 Map

Mailing address

1210 Colonial Dr
Machesney Park, IL 61115-3808

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X220.014395 (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 1922506005

Lucia Nichole Reynolds, LMT, BCTMB's National Provider Identifier is 1922506005, issued on Jan 24, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rockford, IL. The record was last updated on Jan 24, 2018.