NPI 1407034580 · live from the CMS NPI Registry
Beverly Garrison, RMT
Massage Therapist in Southaven, MS. National Provider Identifier 1407034580, active.
NPI record
| NPI | 1407034580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1793 Main St, Southaven, MS 38671 |
| Practice phone | 901-603-5959 |
| Mailing address | 279 Love Rd, Hernando, MS 38632 |
| Enumerated | January 31, 2008 |
| Last updated | January 31, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | RMT868 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.