Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043835242 Individual Practitioner Female Practitioner

Malissa J Knobloch

Massage Therapist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Malissa Knobloch is a registered healthcare professional specializing in Massage Therapist in Bloomington, IL. Practice services are available at 4 YOUNT DR STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Yount Dr Ste 2

Bloomington, IL 617043737

Telephone 3096606721

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Bloomington, IL (1467 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-12
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License IL 227017720

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Massage
227017720 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2020

Registered at 4 YOUNT DR STE 2, BLOOMINGTON, IL 617043737 (Tel: 3096606721)

📍
Updated Business Mailing Address June 12, 2020

Registered at 4 YOUNT DR STE 2, BLOOMINGTON, IL 617043737

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as MALISSA KNOBLOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Massage Therapist (License #227017720 in IL)

🟢
Initial NPI Registration & Enumeration June 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043835242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2020
Last Update: June 12, 2020
Sole Proprietor: Yes

Mailing Address

4 Yount Dr Ste 2

Bloomington, IL 617043737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.