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NPI 1295543080 · live from the CMS NPI Registry

Jasmine Green

Massage Therapist in Biloxi, MS. National Provider Identifier 1295543080, active.

NPI record

NPI1295543080 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location14912 Mallett Rd Apt F301, Biloxi, MS 39532
Practice phone601-397-9036
Mailing address768 Cherry Stone Dr, Clinton, MS 39056
EnumeratedDecember 25, 2024
Last updatedMay 12, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X2150 (MS)
Private Vehicle347C00000X800978630 (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.