Organization · Type 2 NPI
My Massage Sanctuary, Inc
Specialist · Rockford, IL
NPI number
1962643072
Active
Practice location
101 North Alpine Road
Rockford, IL 61107
Fax (866) 596-1027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 227.003938 (IL) |
| Multi-Specialty Clinic/Center | 261QM1300X | 198.000709 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1962643072
My Massage Sanctuary, Inc's National Provider Identifier is 1962643072, issued on Mar 19, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockford, IL. The record was last updated on Mar 19, 2009.