NPI 1043153158 · live from the CMS NPI Registry
Muscular Therapeutics La/Ms
Massage Therapist in Biloxi, MS. National Provider Identifier 1043153158, active.
NPI record
| NPI | 1043153158 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2318 Pass Rd Ste 6, Biloxi, MS 39531 |
| Practice phone | 228-203-2088 |
| Mailing address | 2329 Edenborn Ave, Metairie, LA 70001 |
| Enumerated | April 13, 2026 |
| Last updated | April 13, 2026 |
| Authorized official | Nick Gwen, Coo |
| Other names | Summit Wellness Of Mississippi |
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.