NPI 1144058041 · live from the CMS NPI Registry
Tori Renee Maldonado, LMT
Massage Therapist in Gulfport, MS. National Provider Identifier 1144058041, active.
NPI record
| NPI | 1144058041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12180 Highway 49 Rm 4, Gulfport, MS 39503 |
| Practice phone | 228-870-6539 |
| Enumerated | July 23, 2024 |
| Last updated | July 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2703 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.