Gwenn None Marie, BCPP, BCTMB, LMT
NPI 1164043113ActiveIndividual· Massage Therapist· Bloomington, IL
Massage Therapist (BCPP, BCTMB, LMT) in Bloomington, Illinois, licensed in IL, with an NPI issued in April 2020.
Overview
| NPI | 1164043113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCPP, BCTMB, LMT |
| Sole proprietor | Yes |
| NPI issued | Apr 30, 2020 |
| Last updated in NPPES | Apr 30, 2020 |
| Certified by provider | Apr 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 227.001257 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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