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NPI 1558601609 · live from the CMS NPI Registry

Annetta Merideth

Massage Therapist in De Kalb, MS. National Provider Identifier 1558601609, active.

NPI record

NPI1558601609 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location16657 Highway 16 E, De Kalb, MS 39328
Practice phone601-480-6227
EnumeratedFebruary 27, 2013
Last updatedFebruary 27, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X1881 (MS)

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