Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koren Fuller

Individual provider Massage Therapist · NPI 1639019003

Koren Fuller is a Massage Therapist in Coal Valley, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

102 W 1st Ave
Coal Valley, IL 61240-9308
Phone: (309) 799-7422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227023901 (IL)

Record details

NPI number1639019003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2026
Last updated in NPPESMarch 28, 2026
Certification dateMarch 28, 2026