NPI 1619264157

Malissa M Bordelon, LMT

Practitioner Massage Therapist Long Beach, MS

Practice location

Address: 7198 Beatline Rd Suite a, Long Beach, MS 39560-9146
Phone: (228) 868-9799
Mailing address: PO Box 8864, Gulfport, MS 39506-8864

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1861 (MS)

Other Massage Therapist providers in Mississippi →

Registry record

NPI: 1619264157
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2011
Record last updated: 5 Jul 2011

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.