NPI 1053707224 · live from the CMS NPI Registry
Massage Connexion, LLC
Massage Therapist in Vancleave, MS. National Provider Identifier 1053707224, active.
NPI record
| NPI | 1053707224 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12603 Highway 57, Vancleave, MS 39565 |
| Practice phone | 228-283-5083 |
| Mailing address | Po Box 5667, Vancleave, MS 39565 |
| Enumerated | April 14, 2015 |
| Last updated | February 5, 2016 |
| Authorized official | Charlene Russell, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mechanotherapist | 172M00000X | — |
| Massage Therapist | 225700000X | — |
| Massage Therapist primary | 225700000X | 35 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.