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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

NPI # 1962643072
LBN Legal business name MY MASSAGE SANCTUARY, INC
Authorized official LEILA KAYSER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2009
Last updated 03/19/2009 - About 17 years ago
Identifiers
IL License # 198.000709
IL License # 227.003938
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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