NPI 1083445100 · live from the CMS NPI Registry
Evelyn Hoard
Massage Therapist in Jackson, MS. National Provider Identifier 1083445100, active.
NPI record
| NPI | 1083445100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5360 I 55 N Ste 112, Jackson, MS 39211 |
| Practice phone | 601-665-5302 |
| Mailing address | 72104 Royal Ct, Brandon, MS 39042 |
| Enumerated | August 10, 2024 |
| Last updated | August 10, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2928 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.