NPI 1407535339 · live from the CMS NPI Registry
Chalonda Reed-Phillips
Massage Therapist in Southaven, MS. National Provider Identifier 1407535339, active.
NPI record
| NPI | 1407535339 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 3964 Goodman Rd E Ste 122, Southaven, MS 38672 |
| Practice phone | 901-283-8290 |
| Mailing address | Po Box 154, Southaven, MS 38671 |
| Enumerated | July 17, 2023 |
| Last updated | September 12, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2712 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.