BODYSHOP PROFESSIONAL MASSAGE THERAPY NPI 1144057555

NPI Information

  • NPI: 1144057555
  • Provider Name: BODYSHOP PROFESSIONAL MASSAGE THERAPY
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 500 COVENTRY LN STE 130
    CRYSTAL LAKE, IL
    ZIP 60014
  • Phone: (630) 446-0110

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NPI Details

BODYSHOP PROFESSIONAL MASSAGE THERAPY is a massage therapist in Crystal Lake, IL. The provider is 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. BODYSHOP PROFESSIONAL MASSAGE THERAPY NPI is 1144057555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 COVENTRY LN STE 130
CRYSTAL LAKE, IL
ZIP 60014-578
Phone: (630) 446-0110

The provider's authorized official is Antionette M Meredith .
The authorized official title is Licensed Massage Therapist and has the following contact phone number (630) 418-4440.

The enumeration date for this NPI number is 9/18/2024 and was last updated on 9/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes
2251K00000XPublic Health or WelfareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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