NPI 1669619201 · live from the CMS NPI Registry
Megan Kristine Runkel, LMP
Massage Therapist in Long Beach, MS. National Provider Identifier 1669619201, active.
NPI record
| NPI | 1669619201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 125 Jeff Davis Ave, Long Beach, MS 39560 |
| Practice phone | 228-313-9208 |
| Enumerated | January 20, 2009 |
| Last updated | January 16, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2645 (MS) |
| Specialist | 174400000X | MA 60018937 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.