BERNADETTE MORAN LMT CMLDT NPI 1386092567

NPI Information

  • NPI: 1386092567
  • Provider Name: BERNADETTE MORAN, LMT, CMLDT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 14 E NORTH AVE
    LAKE BLUFF, IL
    ZIP 60044
  • Phone: (630) 347-7234

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NPI Details

Bernadette Moran, LMT, CMLDT is a massage therapist in Lake Bluff, 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. Bernadette Moran, LMT, CMLDT NPI is 1386092567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 E NORTH AVE
LAKE BLUFF, IL
ZIP 60044-132
Phone: (630) 347-7234

The enumeration date for this NPI number is 5/29/2016 and was last updated on 5/29/2016.

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 Therapist227007282ILLINOISYes

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: 11/21/2025

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