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Contact Information

MY MASSAGE SANCTUARY, INC
101 NORTH ALPINE ROAD
ROCKFORD, IL61107
 Phone: 779-423-1700
 Fax: 866-596-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for MY MASSAGE SANCTUARY INC · (Female)

NPI # 1962643072
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2009
Last updated 03/19/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 198.000709
  • IL License # 227.003938
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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