person
Malissa J Knobloch
Massage Therapist in Bloomington, Illinois
NPI 1043835242

Malissa J Knobloch is a Massage Therapist based in Bloomington, IL. Malissa J Knobloch practices in Bloomington, IL. The NPI Number for Malissa J Knobloch is 1043835242 and holds a License No. 227017720 (Illinois).

The current practice location address for Malissa J Knobloch is 4 Yount Dr Ste 2, Bloomington, IL and can be reached out via phone at 309-660-6721. You can also correspond with Malissa J Knobloch through the mailing address at 4 YOUNT DR STE 2, BLOOMINGTON, IL - 61704-3737 (mailing address contact number: ).

Location: 4 Yount Dr Ste 2, Bloomington, IL, 61704-3737
person
Provider Profile Details
NPI Number
1043835242
Provider Name
Malissa J Knobloch
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Yount Dr Ste 2, Bloomington, IL, 61704-3737
Phone Number
309-660-6721
Fax Number
Provider Enumeration Date
06/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227017720 01 IL MEDICAL MASSAGE
institution
Provider Business Practice Location Address Details
Address
4 Yount Dr Ste 2
City
State
Zip
61704-3737
Phone Number
309-660-6721
Fax Number
person
Provider Business Mailing Address Details
Address
4 Yount Dr Ste 2
City
State
Zip
61704-3737
Phone Number
309-660-6721
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227017720 (Illinois)
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.
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