NPI 1215692124 · live from the CMS NPI Registry
Joy Ann-Marie Sorrells, LMT
Massage Therapist in Petal, MS. National Provider Identifier 1215692124, active.
NPI record
| NPI | 1215692124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 136 Corinth Rd, Petal, MS 39465 |
| Practice phone | 601-596-6821 |
| Enumerated | November 4, 2021 |
| Last updated | February 13, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2565 (MS) |
| Massage Therapist | 225700000X | MT135358 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.