NPI 1053191833 · live from the CMS NPI Registry
Phoebe L Breland, LMT
Massage Therapist in Columbus, MS. National Provider Identifier 1053191833, active.
NPI record
| NPI | 1053191833 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2002 Highway 45 N Ste 5, Columbus, MS 39705 |
| Practice phone | 662-848-2565 |
| Mailing address | 317 Cecil St, Columbus, MS 39702 |
| Enumerated | September 29, 2023 |
| Last updated | October 10, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 1402 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.