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

TaxonomyCodeLicense
Specialist Primary 174400000X227.003938 (IL)
Multi-Specialty Clinic/Center 261QM1300X198.000709 (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.