person
Mrs. Jamie Lynn Fanara, JAMIEFANARA,LCMT
Massage Therapist in Rockford, Illinois
NPI 1174813398

Jamie Lynn Fanara is a Massage Therapist based in Rockford, IL. Jamie Lynn Fanara practices in Rockford, IL and has the professional credentials of JAMIEFANARA,LCMT. The NPI Number for Jamie Lynn Fanara is 1174813398 and holds a License No. 227.005581 (Illinois).

The current practice location address for Jamie Lynn Fanara is 461 N. Mulford Road, Rockford, IL and can be reached out via phone at 815-977-4743.

Location: 461 N. Mulford Road, Rockford, IL, 61107
person
Provider Profile Details
NPI Number
1174813398
Provider Name
Jamie Lynn Fanara
Credential
JAMIEFANARA,LCMT
Provider Entity Type
Individual
Gender
Female
Address
461 N. Mulford Road, Rockford, IL, 61107
Phone Number
815-977-4743
Fax Number
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
461 N. Mulford Road
City
State
Zip
61107
Phone Number
815-977-4743
Fax Number
person
Provider Business Mailing Address Details
Address
461 N. Mulford Road
City
State
Zip
61107
Phone Number
815-977-4743
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.005581 (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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