NPI 1225868607 · live from the CMS NPI Registry
My Walden Massage & Holistic Health Services, LLC.
Massage Therapist in Ridgeland, MS. National Provider Identifier 1225868607, active.
NPI record
| NPI | 1225868607 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7048 Old Canton Rd Ste 2011, Ridgeland, MS 39157 |
| Practice phone | 601-401-4930 |
| Mailing address | Po Box 1113, Madison, MS 39130 |
| Enumerated | August 1, 2024 |
| Last updated | August 1, 2024 |
| Authorized official | Brian Velez, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.