| Ms Constance J Ellis, LMT | |
|
3405 Arline Ave, Rockford, IL 61101-3210 | |
| (815) 669-0475 | |
| Not Available |
| Full Name | Ms Constance J Ellis |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 3405 Arline Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902516339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 22714984 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Constance J Ellis, LMT 3405 Arline Ave, Rockford, IL 61101-3210 Ph: (815) 669-0475 | Ms Constance J Ellis, LMT 3405 Arline Ave, Rockford, IL 61101-3210 Ph: (815) 669-0475 |
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