NPI 1104696756

Linda Mabry

Practitioner Massage Therapist Jackson, MS

Practice location

Address: 312 Swan Lake Dr, Jackson, MS 39212-5338
Phone: (601) 927-7083

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2049 (MS)

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Registry record

NPI: 1104696756
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2024
Record last updated: 4 Jan 2024

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.