MARY CLARE LOUISE KAGAN LMT
NPI 1154957918
Massage Therapist in Rockford, IL
- Individual
- Female
- Massage Therapist
About MARY CLARE KAGAN
This page provides the complete NPI Profile along with additional information for Mary Clare Kagan, a provider established in Rockford, Illinois with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1154957918 assigned on March 2020. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1154957918 Verify this NPI
- Provider Name
- MARY CLARE LOUISE KAGAN LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3600 E STATE ST ROCKFORD, IL 61108
- Location Phone
- (815) 721-1378
- Mailing Address
- 1512 CAMP AVE ROCKFORD, IL 61103
- Mailing Phone
- (815) 721-1378
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-12-2020
- Last Update Date
- 03-12-2020
- Code Navigator
Location Map
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
- 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.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ROCKFORD, IL 61108
ROCKFORD, IL 61108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154957918, enumerated as an "individual" on March 12, 2020.
The provider is located at 3600 E STATE ST ROCKFORD, IL 61108 and the phone number is (815) 721-1378.
Massage Therapist with taxonomy code 225700000X.
