NPI 1194659102 · live from the CMS NPI Registry
Krystal Gore
Massage Therapist in Biloxi, MS. National Provider Identifier 1194659102, active.
NPI record
| NPI | 1194659102 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2318 Pass Rd Ste 6, Biloxi, MS 39531 |
| Practice phone | 228-203-2088 |
| Mailing address | 2329 Edenborn Ave, Metairie, LA 70001 |
| Enumerated | June 12, 2026 |
| Last updated | June 12, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 1591 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.