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Malissa Knobloch
NPI 1043835242 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4 Yount Dr Ste 2
Bloomington, IL 61704 - Phone
- (309) 660-6721
- Organisation at this address
- Jordan Spine & Rehab Center Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois