GWENN NONE MARIE


Address: 2416 E Washington St Ste A9, Bloomington, IL 61704-1612
Phone: 3093106472

GWENN NONE MARIE (NPI# 1164043113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164043113
Entity Type Individual
Full Name GWENN NONE MARIE
Credential BCPP, BCTMB, LMT
Practice Address 2416 E Washington St Ste A9
Bloomington
IL 61704-1612
Mailing Address 13 Broadway Pl
Normal
IL 61761-3620
Practice Telephone 3093106472
Mailing Telephone 3093106472
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 227.001257 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2416 E WASHINGTON ST STE A9
City BLOOMINGTON
State IL
Zip Code 61704-1612

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1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
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1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043835242 Malissa J Knobloch Massage Therapist 4 Yount Dr Ste 2, Bloomington, IL 61704-3737 2020-06-12
1326660671 Aaron L Avalos Massage Therapist 303 Turnberry Dr Apt C, Bloomington, IL 61701-1484 2020-05-09
1316589427 Kayla Christine Whaley Massage Therapist 1713 N College Ave, Bloomington, IN 47404-2478 2019-10-09
1174172712 Paulina M Makowska Massage Therapist 1713 N College Ave Ste 1, Bloomington, IN 47404-2479 2019-09-06
1962065813 Beth Ann Denniston Massage Therapist 341 S Lincoln St Apt 4, Bloomington, IN 47401-2705 2019-04-16
1730652488 April Dawn Mccloud Massage Therapist 800 S College Ave Ste F, Bloomington, IN 47403-2565 2019-01-05
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1194104182 Massage By Megan Massage Therapist 409 S Prospect Rd Ste A, Bloomington, IL 61704-4581 2015-05-22
1962746909 Carol Mathewson Massage Therapist 11331 Louisiana Cir, Bloomington, MN 55438-2827 2012-11-15
1427304690 Touchstone Wellness Center, Inc Massage Therapist 2864 E. Buick Cadillac Blvd, Bloomington, IN 47401 2012-07-25
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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