Wellformed AI

NPI 1386090249 · live from the CMS NPI Registry

Denny Dismuke, LMT

Massage Therapist in Meridian, MS. National Provider Identifier 1386090249, active.

NPI record

NPI1386090249 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location2000 15th St, Meridian, MS 39301
Practice phone601-697-6748
Mailing address182 Wilbur Rd, Hickory, MS 39332
EnumeratedMay 10, 2016
Last updatedMay 10, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000XLMT2347 (MS)

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