NPI 1144587338 · live from the CMS NPI Registry
Elizabeth M Fragello, LMT
Massage Therapist in Gulfport, MS. National Provider Identifier 1144587338, active.
NPI record
| NPI | 1144587338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1800 Beach Dr, Gulfport, MS 39507 |
| Practice phone | 228-669-9040 |
| Mailing address | 10365 Gorenflo Rd, Apt 1414, Diberville, MS 39540 |
| Enumerated | April 12, 2012 |
| Last updated | April 12, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LMT-1758 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.