NPI 1215523519

Elements of Health VA LLC

Organisation Massage Therapist Chesapeake, VA

Practice location

Address: 4300 Portsmouth Blvd STE 262, Chesapeake, VA 23321-2138
Phone: (757) 956-5742
Fax: (757) 695-9801
Mailing address: 4247 White Cap Crst, Chesapeake, VA 23321-3256

Authorised official

Name: Shawnte Latryce Peterson
Title: Owner
Phone: (757) 529-1647

Registered specialties (3)

Massage Therapist Primary

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

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Reflexologist

Other Service Providers Taxonomy 173C00000X

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Health Educator

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1215523519
Entity type: Organization
NPI issued: 21 Dec 2020
Record last updated: 10 Apr 2023

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.