GWENN NONE MARIE BCPP BCTMB LMT NPI 1164043113

NPI Information

NPI: 1164043113
Provider Name: GWENN NONE MARIE, BCPP, BCTMB, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2416 E WASHINGTON ST STE A9
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 310-6472
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Gwenn None Marie, BCPP, BCTMB, LMT is a massage therapist in Bloomington, 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. Gwenn None Marie, BCPP, BCTMB, LMT NPI is 1164043113. 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:

2416 E WASHINGTON ST STE A9
BLOOMINGTON, IL
ZIP 61704-612
Phone: (309) 310-6472

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.

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		227.001257	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: 5/5/2024

NPI Synchronization or Removal

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