Mallory King, LMT

NPI #1154690089 in Bannockburn, Illinois

Provider Information

NPI Number: 1154690089
Entity Type: Individual
Name: Mallory King, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 21, 2011
Last Updated: Dec 21, 2011

Practice Location

Address: 2211 WAUKEGAN RD
City: Bannockburn
State: Illinois
ZIP Code: 60015-1570
Phone: (847) 267-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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