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Ms. Regina Sue Bonnell, LMT
Other Technician in Rockford, Illinois
NPI 1568803237

Regina Sue Bonnell is a Other Technician based in Rockford, IL. Regina Sue Bonnell practices in Rockford, IL and has the professional credentials of LMT. The NPI Number for Regina Sue Bonnell is 1568803237 and holds a License No. (Illinois).

The current practice location address for Regina Sue Bonnell is 6905 E State St, Rockford, IL and can be reached out via phone at 815-397-4142.

Location: 6905 E State St, Rockford, IL, 61125-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568803237
Provider Name
Regina Sue Bonnell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
6905 E State St, Rockford, IL, 61125-1107
Phone Number
815-397-4142
Fax Number
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
610557-11 01 NATIONAL CERTIFIED IN THERAPEUTIC MASSAGE AND BODYWORK
227013896 01 IL LICENSED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
6905 E State St
City
Rockford
State
Illinois
Zip
61108-2692
Phone Number
815-397-4142
Fax Number
person
Provider Business Mailing Address Details
Address
6905 E State St
City
Rockford
State
Illinois
Zip
61108-2692
Phone Number
815-397-4142
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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