Lynnette Smith, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.010989 Issued in IL

Practice address

6059 Windsor Rd
Loves Park, IL 61111-4447

Phone

(815) 520-3922

NPI assigned

Mar 31, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1063807709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114447",
            "telephone_number": "815-520-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114447",
            "telephone_number": "815-520-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNNETTE",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.010989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah James Simon, M.D.
• Alexander Sjuts, D.D.S.
• Mark Allen Sloan, D.C.
• Todd R. Smidt, CRNA
• Joni D. Smith, CRNA
• Lisa P Solomon, D.O.
• Spinal Care Center
• Kathleen J. Starck, C.R.N.A.
• Timothy W. Starck, M.D.
• Phillip G Statler, LMT

• Massage Therapist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.