Katie Mallon, LMT

NPI #1023424918 in Waterloo, Illinois

Provider Information

NPI Number: 1023424918
Entity Type: Individual
Name: Katie Mallon, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 11, 2014
Last Updated: Jul 11, 2014

Practice Location

Address: 742 N MARKET ST STE D
City: Waterloo
State: Illinois
ZIP Code: 62298-1079
Phone: (314) 740-2172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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