NPI 1255658357

Thea Rochelle Martin, LMT

Practitioner Massage Therapist Long Beach, MS

Practice location

Address: 206 Kuyrkendall Pl, Long Beach, MS 39560-3308
Phone: (228) 323-1113

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LMT 1654 (MS)

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Registry record

NPI: 1255658357
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2010
Record last updated: 28 Apr 2010

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.