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Mallary Blaire Hardin, LMT
Massage Therapist in Peoria, Illinois
NPI 1215332283

Mallary Blaire Hardin is a Massage Therapist based in Peoria, IL. Mallary Blaire Hardin practices in Peoria, IL and has the professional credentials of LMT. The NPI Number for Mallary Blaire Hardin is 1215332283 and holds a License No. 227.011362 (Illinois).

The current practice location address for Mallary Blaire Hardin is 2208 W Willow Knolls Rd, Peoria, IL and can be reached out via phone at 309-693-9600 and via fax at 309-693-3616.

Location: 2208 W Willow Knolls Rd, Peoria, IL, 61614-1467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215332283
Provider Name
Mallary Blaire Hardin
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2208 W Willow Knolls Rd, Peoria, IL, 61614-1467
Phone Number
309-693-9600
Fax Number
309-693-3616
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2208 W Willow Knolls Rd
City
Peoria
State
Illinois
Zip
61614-1467
Phone Number
309-693-9600
Fax Number
309-693-3616
person
Provider Business Mailing Address Details
Address
2208 W Willow Knolls Rd
City
Peoria
State
Illinois
Zip
61614-1467
Phone Number
309-693-9600
Fax Number
309-693-3616
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.011362 (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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