My Massage Sanctuary, INC

NPI #1962643072 in Rockford, Illinois

Provider Information

NPI Number: 1962643072
Entity Type: Organization
Organization Name: My Massage Sanctuary, INC
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2009
Last Updated: Mar 19, 2009

Practice Location

Address: 101 NORTH ALPINE ROAD
City: Rockford
State: Illinois
ZIP Code: 61107
Phone: (779) 423-1700

Authorized Official

Name: LEILA I KAYSER, CEO
Title: CEO
Phone: (815) 301-7809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Specialist	174400000X	Primary

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