NPI 1235491085 · live from the CMS NPI Registry
Amanda J Canterberry, LMT
Massage Therapist in Gulfport, MS. National Provider Identifier 1235491085, active.
NPI record
| NPI | 1235491085 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 23297 Highway 53, Gulfport, MS 39503 |
| Practice phone | 228-261-9266 |
| Enumerated | June 7, 2012 |
| Last updated | June 7, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 1943 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.