NPI 1467251850 · live from the CMS NPI Registry
Qua'Shellea Fairley
Massage Therapist in Diberville, MS. National Provider Identifier 1467251850, active.
NPI record
| NPI | 1467251850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 10216 3rd Ave Ste C, Diberville, MS 39540 |
| Practice phone | 228-296-6130 |
| Mailing address | 890 Motsie Rd Apt 424, Biloxi, MS 39532 |
| Enumerated | March 10, 2025 |
| Last updated | March 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2921 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.