NPI 1255658357 · live from the CMS NPI Registry
Thea Rochelle Martin, LMT,
Massage Therapist in Long Beach, MS. National Provider Identifier 1255658357, active.
NPI record
| NPI | 1255658357 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 206 Kuyrkendall Pl, Long Beach, MS 39560 |
| Practice phone | 228-323-1113 |
| Enumerated | April 28, 2010 |
| Last updated | April 28, 2010 |
| Sole proprietor | Yes |
| Other names | Shelly Martin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LMT 1654 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.