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GWENN NONE MARIE BCPP, BCTMB, LMT
NPI 1164043113
Massage Therapist in Bloomington, IL

Active since April 30, 2020
2416 E WASHINGTON ST STE A9, BLOOMINGTON, IL 61704(309) 310-6472 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwenn None Marie Bcpp, Bctmb, Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENN NONE MARIE BCPP, BCTMB, LMT (NPI 1164043113) is an individual massage therapist in Bloomington, Illinois, licensed in Illinois (227.001257) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1164043113
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameGWENN NONE MARIECredential: BCPP, BCTMB, LMT
Location Address2416 E WASHINGTON ST STE A9Bloomington, IL 61704-1612
Mailing Address13 Broadway PlNormal, IL 61761-3620 · (309) 310-6472
Phone(309) 310-6472
Sole ProprietorYes
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1164043113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IL · 227.001257
Definition
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.
2416 E WASHINGTON ST STE A9, Bloomington, IL 61704
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwenn Marie's NPI number?

The NPI number for Gwenn Marie is 1164043113. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Gwenn Marie located?

Gwenn Marie practices at 2416 E Washington St Ste A9, Bloomington, IL 61704. The listed phone number is (309) 310-6472.

What is Gwenn Marie's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Gwenn Marie was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.