person
Jennifer Nicole Leake, LMT
Massage Therapist in Rockford, Illinois
NPI 1518658871

Jennifer Nicole Leake is a Massage Therapist based in Rockford, IL. Jennifer Nicole Leake practices in Rockford, IL and has the professional credentials of LMT. The NPI Number for Jennifer Nicole Leake is 1518658871 and holds a License No. 227.022820 (Illinois).

The current practice location address for Jennifer Nicole Leake is 6778 Mill Rd Ste 300, Rockford, IL and can be reached out via phone at 815-977-4140.

Location: 6778 Mill Rd Ste 300, Rockford, IL, 61108-2502
person
Provider Profile Details
NPI Number
1518658871
Provider Name
Jennifer Nicole Leake
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
6778 Mill Rd Ste 300, Rockford, IL, 61108-2502
Phone Number
815-977-4140
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6778 Mill Rd Ste 300
City
State
Zip
61108-2502
Phone Number
815-977-4140
Fax Number
person
Provider Business Mailing Address Details
Address
6778 Mill Rd Ste 300
City
State
Zip
61108-2502
Phone Number
815-977-4140
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.022820 (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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