MS. Constance J Ellis, LMT

NPI #1902516339 in Rockford, Illinois

Provider Information

NPI Number: 1902516339
Entity Type: Individual
Name: MS. Constance J Ellis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 28, 2022
Last Updated: Nov 28, 2022

Practice Location

Address: 3405 ARLINE AVE
City: Rockford
State: Illinois
ZIP Code: 61101-3210
Phone: (815) 669-0475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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