Shelli Reiling, LMT
Individual provider Active NPI Massage Therapist · Hampton, IL
NPI 1396347332 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1396347332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227009331 (IL)
- Practice address
- 510 State Ave
Hampton, IL 61256-9690 - Phone
- (815) 535-6724
- NPI assigned
- Nov 13, 2020
- 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 |
|---|---|---|---|
| 227009331 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227009331 | IL | Yes |
Addresses
Primary practice location
510 State Ave
Hampton, IL 61256-9690
Mailing address
PO Box 414
Cordova, IL 61242-0414
Phone (815) 535-6724
Other providers in Hampton, IL
- Hampton Health and Wellness
- Hampton School District 29
- Alyssa Morrissey
- Porter Drug Inc
- Purple Tree Chiropractic & Wellness
- Stone Wellness, Inc.
- Laura Leticia Stone
All providers in Hampton, IL · Massage Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. 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.