NPI 1134743438

Kimberly a Knaus, MASSAGETHERAPIST

Practitioner Massage Therapist Decatur, IL

Practice location

Address: 2934 S Mount Zion Rd, Decatur, IL 62521-9723
Phone: (217) 864-1521
Mailing address: 626 Dunn Cir, Sullivan, IL 61951-6398

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.001810 (IL)

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Registry record

NPI: 1134743438
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2020
Record last updated: 2 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.