NPI 1174110621

Serena Hansen

Practitioner Massage Therapist Hampton, VA

Practice location

Address: 3750 Kecoughtan Rd APT 3, Hampton, VA 23669-4481
Phone: (757) 218-5730
Mailing address: 1062 W Mercury Blvd Unit 7112, Hampton, VA 23666-1011

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019010491 (VA)

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Registry record

NPI: 1174110621
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2020
Record last updated: 30 Dec 2020

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.