NPI 1164002895

Athletic Edge Sports Massage, LLC

Organisation Massage Therapist Vienna, VA

Practice location

Address: 226 Maple Ave W STE 303, Vienna, VA 22180-5607
Phone: (571) 259-4154

Authorised official

Name: Michelle a Sweeney
Title: Owner
Phone: (571) 259-4154

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1164002895
Entity type: Organization
NPI issued: 8 Apr 2021
Record last updated: 8 Apr 2021

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.