Doctor Name: | MR. CHRISTOPHER SCOTT MILLS |
NPI Number: | 1730481169 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, CSCS, LMT |
License Number: | 227-003757 |
Business Practice Address: | 6392 Linden Rd Rockford, IL - 611092816 |
Business Phone Number: | 7793680584 |
Business Fax Number: | |
Mailing Address: | 5411 E State St, Pmb 344 ROCKFORD |
State: | IL |
Postal Code: | 611082907 |
Phone Number: | 8155408368 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227-003757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |