Marjorie Lee Bard, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227010716 Issued in IL

Practice address

2208 W Willow Knolls Rd.
Peoria, IL 61614-1467

Phone

(309) 693-9600

Fax

(309) 693-3616

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kramer Chiropractic and Accupuncture Center LLC

  • Chiropractor
  • Peoria, IL
  • NPI 1770593311
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1689079659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 W WILLOW KNOLLS RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141467",
            "telephone_number": "309-693-9600",
            "fax_number": "309-693-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 W WILLOW KNOLLS RD.",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141467",
            "telephone_number": "309-693-9600",
            "fax_number": "309-693-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "MARJORIE",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227010716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKayla Bannister, APRN
• Joseph Banno, M.D.
• Saurabh Kumar Bansal, MD
• Adam Barber, PHARM.D
• Julie Lynn Barclay, FNP-C
• Kelli Barisch
• Michael C Barisch
• Lisa T Barker, M.D.
• Patrece Antoinette Barker, D.O., M.S.
• Samar S Barlota, LPC

• Massage Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.