Healthcare Provider Details

I. General information

NPI: 1588570626
Provider Name (Legal Business Name): ALMA PADILLA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 LOGAN AVE
BELVIDERE IL
61008-6412
US

IV. Provider business mailing address

1005 KISHWAUKEE ST APT 2
ROCKFORD IL
61104-4614
US

V. Phone/Fax

Practice location:
  • Phone: 815-575-9887
  • Fax: 779-269-0746
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227034791
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: