NPI 1003665761 · live from the CMS NPI Registry
Meraki Therapes LLC
Massage Therapist in Gulfport, MS. National Provider Identifier 1003665761, active.
NPI record
| NPI | 1003665761 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12180 Highway 49, Gulfport, MS 39503 |
| Practice phone | 228-424-0879 |
| Enumerated | May 15, 2024 |
| Last updated | May 15, 2024 |
| Authorized official | Kelly Grigsby, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.