LIFESTYLE MASSAGE THERAPY LLC NPI 1225730278

NPI Information

NPI: 1225730278
Provider Name: LIFESTYLE MASSAGE THERAPY LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4873 MANHATTAN DR
ROCKFORD, IL
ZIP 61108
Phone: (815) 977-5876
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LIFESTYLE MASSAGE THERAPY LLC is a health service clinic center in Rockford, IL. LIFESTYLE MASSAGE THERAPY LLC NPI is 1225730278. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4873 MANHATTAN DR
ROCKFORD, IL
ZIP 61108-265
Phone: (815) 977-5876
Fax: (855) 509-0419

The provider's authorized official is Christy A Cellitti .
The authorized official title is Owner and has the following contact phone number (815) 977-5876.

The enumeration date for this NPI number is 3/21/2023 and was last updated on 3/21/2023.

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	Primary
1	171100000X	Acupuncturist		No
2	173C00000X	Reflexologist		No
3	225700000X	Massage Therapist		No
4	261QP3300X	Clinic/Center	Pain	No
5	261QH0100X	Clinic/Center	Health Service	Yes

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: 5/5/2024

NPI Synchronization or Removal

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