Whalio Doctors

NPI 1104161991

Susan M. Golman, LMTMMP

Practitioner Massage Therapist Picayune, MS

Practice location

Address
401 Williams Ave, Picayune, MS 39466-3948
Phone
(504) 717-3467
Mailing address
1616 W Fourth Ave, Picayune, MS 39466-3110

Registered specialties (2)

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LMT 1214 (MS)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA 4325 (LA)

Registry record

NPI
1104161991
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Dec 2012
Record last updated
5 Dec 2012

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.