Lindsay Correll, LMT
Individual provider Active NPI Massage Therapist · Roscoe, IL
NPI 1063304103 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1063304103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227.014706 (IL)
- Practice address
- 5518 Clayton Cir
Roscoe, IL 61073-9533 - Phone
- (815) 601-8648
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.014706 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 227.014706 | IL | Yes |
Addresses
Primary practice location
5518 Clayton Cir
Roscoe, IL 61073-9533
Mailing address
10350 Bluebonnet Dr
Machesney Park, IL 61115-1319
Phone (815) 601-8648
Other practice location 1
5348 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 601-8648
Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.