NPI 1104253285

Massage Revolution

Organisation Massage Therapist Jackson, MS

Practice location

Address: 210 E Capitol St Suite M-142, Jackson, MS 39201-2306
Phone: (601) 918-1853

Authorised official

Name: Abraham Santa Cruz
Title: Operations Manager
Phone: (601) 918-1853

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2027 (MS)

Other Massage Therapist providers in Mississippi →

Registry record

NPI: 1104253285
Entity type: Organization
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.