Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENN NONE MARIE, BCPP, BCTMB, LMT
Active Sole ProprietorGWENN NONE MARIE, BCPP, BCTMB, LMT is a Massage Therapist healthcare provider located in BLOOMINGTON, Illinois. NPI 1164043113 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1164043113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2020 (6.2538383898107 yrs)
- Last Updated
- Apr 30, 2020
- License
-
227.001257 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2416 E WASHINGTON ST STE A9BLOOMINGTON, IL, 617041612Browse IL providers · Browse ZIP 61704
- Phone
- 3093106472
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| ADRIANNE MARIE FULLER | L.M.T. | 1417182692 |
| CORIE ANN MILLER | LMT | 1285953687 |
| MRS. JANELL DIANE MOSBACH | — | 1063775856 |
| KELLY R ANDREWS | LMT | 1821478967 |
| AARON L AVALOS | LMT | 1326660671 |
| MALISSA J KNOBLOCH | — | 1043835242 |
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.