NPI 1235491085

Amanda J Canterberry, LMT

Practitioner Massage Therapist Gulfport, MS

Practice location

Address: 23297 Highway 53, Gulfport, MS 39503-8227
Phone: (228) 261-9266

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1943 (MS)

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Registry record

NPI: 1235491085
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2012
Record last updated: 7 Jun 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.