NPI 1447679527

Mobile Massage, LLC

Organisation Point of Service Vienna, VA

Practice location

Address: 307 Maple Ave W, Vienna, VA 22180-4307
Phone: (240) 778-8187

Authorised official

Name: William Quell Patrick
Title: Massage Therapist
Phone: (240) 778-8187

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 0019011159 (VA)

Other Point of Service providers in Virginia →

Registry record

NPI: 1447679527
Entity type: Organization
NPI issued: 16 Apr 2014
Record last updated: 16 Apr 2014

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.