Thea Rochelle Martin LMT,

NPI 1255658357 - Massage Therapist - 225700000X

NPI Details
NPI 1255658357
Gender Female
Enumeration Date 04/28/2010
Last Updated 04/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
206 KUYRKENDALL PL
LONG BEACH MS, 39560-3308, US
Phone (228) 323-1113
Fax
Business Location
206 KUYRKENDALL PL
LONG BEACH MS, 39560-3308, US
Phone (228) 323-1113
Fax
Toxanomy
Taxonomy Code 225700000X
License State Mississippi
License Number LMT 1654
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According to our database, Ms. Thea Rochelle Martin LMT, NPI is 1255658357, taxonomy code is 225700000X and license number is LMT 1654, license state is located at Mississippi. Thea Rochelle Martin LMT, physically located at 206 Kuyrkendall Pl, Long Beach MS, 39560-3308. NPI Number Thea Rochelle Martin LMT, has the Individual type.

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1255658357 NPI number is provided on an as is basis without warranty of any kind. 1255658357 is maintained by the National Plan & Provider Enumeration System. The contents of Thea Rochelle Martin LMT, are for informational purposes only.