MARJORIE LEE BARD LMT NPI 1689079659

NPI Information

NPI: 1689079659
Provider Name: MARJORIE LEE BARD, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2208 W WILLOW KNOLLS RD.
PEORIA, IL
ZIP 61614
Phone: (309) 693-9600
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Marjorie Lee Bard, LMT is a massage therapist in Peoria, 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. Marjorie Lee Bard, LMT NPI is 1689079659. 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:

2208 W WILLOW KNOLLS RD.
PEORIA, IL
ZIP 61614-467
Phone: (309) 693-9600
Fax: (309) 693-3616

The enumeration date for this NPI number is 11/3/2014 and was last updated on 11/3/2014.

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
1	225700000X	Massage Therapist		227010716	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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