NPI 1295417087 · live from the CMS NPI Registry
Brenda Diane Akporoguafe, LMT
Massage Therapist in Ridgeland, MS. National Provider Identifier 1295417087, active.
NPI record
| NPI | 1295417087 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 210 W Jackson St, Ridgeland, MS 39157 |
| Practice phone | 337-600-8623 |
| Mailing address | 2432b River Oaks Blvd Apt B, Jackson, MS 39211 |
| Enumerated | August 2, 2023 |
| Last updated | August 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 1346954211 (MS) |
| Massage Therapist primary | 225700000X | 1346954211 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.