NPI 1104696756 · live from the CMS NPI Registry
Linda Mabry
Massage Therapist in Jackson, MS. National Provider Identifier 1104696756, active.
NPI record
| NPI | 1104696756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 312 Swan Lake Dr, Jackson, MS 39212 |
| Practice phone | 601-927-7083 |
| Enumerated | January 4, 2024 |
| Last updated | January 4, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2049 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.