Gwenn None Marie, BCPP, BCTMB, LMT
NPI #1164043113 in Bloomington, Illinois
Provider Information
- NPI Number
- 1164043113
- Entity Type
- Individual
- Name
- Gwenn None Marie, BCPP, BCTMB, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- BCPP, BCTMB, LMT
- Enumeration Date
- Apr 30, 2020
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 2416 E WASHINGTON ST STE A9
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-1612
- Phone
- (309) 310-6472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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