NPI 1982388112 · live from the CMS NPI Registry
Resilient Therapeutics LLC
Massage Therapist in Jackson, MS. National Provider Identifier 1982388112, active.
NPI record
| NPI | 1982388112 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2084 Dunbarton Dr Ste H, Jackson, MS 39216 |
| Practice phone | 769-226-1925 |
| Mailing address | 113 Lennis Welch Rd, Magee, MS 39111 |
| Enumerated | June 8, 2023 |
| Last updated | June 8, 2023 |
| Authorized official | Shawna Walker, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Acupuncturist | 171100000X | — |
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.