JODY LEE HAZEL LMT
NPI 1093314148
Massage Therapist in Noble, IL

Active since October 20, 2020
1750 E COLBORN CAMP LN, NOBLE, IL 62868(618) 302-1703 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2022, Sep 20, 2022, Oct 20, 2020 (3 updates tracked since 2020).

  • Individual
  • Female
  • Massage Therapist

About JODY HAZEL

This page provides the complete NPI Profile along with additional information for Jody Hazel, a provider established in Noble, Illinois with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1093314148 assigned on October 2020. The practitioner's primary taxonomy code is 225700000X with license number 227.008542 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1093314148 Verify this NPI
Provider Name
JODY LEE HAZEL LMT
Gender
Female
Entity Type
Individual
Location Address
1750 E COLBORN CAMP LN NOBLE, IL 62868
Location Phone
(618) 302-1703
Mailing Address
1750 E COLBORN CAMP LN NOBLE, IL 62868
Mailing Phone
(618) 302-1703
Is Sole Proprietor?
Yes
Enumeration Date
10-20-2020
Last Update Date
11-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
227.008542
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Massage Therapist
1750 E COLBORN CAMP LN
NOBLE, IL 62868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093314148, enumerated as an "individual" on October 20, 2020.

The provider is located at 1750 E COLBORN CAMP LN NOBLE, IL 62868 and the phone number is (618) 302-1703.

Massage Therapist with taxonomy code 225700000X.