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MY MASSAGE SANCTUARY INC NPI 1962643072


NPI Information

NPI: 1962643072
Provider Name: MY MASSAGE SANCTUARY, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
101 NORTH ALPINE ROAD
ROCKFORD, IL
ZIP 61107
Phone: (779) 423-1700
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MY MASSAGE SANCTUARY, INC is a specialist in Rockford, IL. The provider is 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. MY MASSAGE SANCTUARY, INC NPI is 1962643072. The provider is registered as an organization entity type.

The provider's business location address is:

101 NORTH ALPINE ROAD
ROCKFORD, IL
ZIP 61107
Phone: (779) 423-1700
Fax: (866) 596-1027

The provider's authorized official is Leila I Kayser .
The authorized official title is Ceo and has the following contact phone number (815) 301-7809.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 3/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-Specialty198.000709ILLINOISNo
2174400000XSpecialist227.003938ILLINOISYes

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

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