IndividualActive
Andrea Reynolds, LMT
NPI 1396071932 · Massage Therapist · Rockford, IL
Provider details
- NPI number
- 1396071932
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227.005720 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
129 Phelps Ave
Rockford, IL 61108-2453
Phone: (224) 805-0000
Approximate (ZIP-level) locationGet directions
Mailing address
129 Phelps Ave
Rockford, IL 61108-2453
Registry dates
- Enumerated
- 2009-11-01
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.