NPI 1457188252

Tae Sub Shin

Practitioner Massage Therapist Spotsylvania, VA

Practice location

Address: 506 Santee Drive, Spotsylvania, VA 22551
Phone: (804) 241-5151

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019010730 (VA)

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Registry record

NPI: 1457188252
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 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.