MALISSA J KNOBLOCH (NPI# 1043835242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043835242 |
| Entity Type | Individual |
| Full Name | MALISSA J KNOBLOCH |
| Practice Address |
4 Yount Dr Ste 2 Bloomington IL 61704-3737 |
| Practice Telephone | 3096606721 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227017720 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAL MASSAGE | 227017720 | 01 |
| Street Address |
4 YOUNT DR STE 2 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 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 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660671 | Aaron L Avalos | Massage Therapist | 303 Turnberry Dr Apt C, Bloomington, IL 61701-1484 | 2020-05-09 |
| 1164043113 | Gwenn None Marie | Massage Therapist | 2416 E Washington St Ste A9, Bloomington, IL 61704-1612 | 2020-04-30 |
| 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 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MALISSA J KNOBLOCH.
| 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.