Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE MALLON, LMT
ActiveKATIE MALLON, LMT is a Massage Therapist healthcare provider located in WATERLOO, Illinois. NPI 1023424918 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · WATERLOO, IL
Registration Details
- NPI Number
- 1023424918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2014 (12.073569307158 yrs)
- Last Updated
- Jul 11, 2014
- License
-
227.007281 (IL)
Practice Information
- Address
-
742 N MARKET ST STE DWATERLOO, IL, 622981079Browse IL providers · Browse ZIP 62298
- Phone
- 3147402172
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.