IndividualActive
Adrianne Fuller, L.M.T.
NPI 1417182692 · Massage Therapist · Bloomington, IL
Provider details
- NPI number
- 1417182692
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227.009183 (IL)
Mailing address
Po Box 702
Danvers, IL 61732-0702
Registry dates
- Enumerated
- 2009-05-18
- Last updated
- 2009-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.