NPI 1669298113

Terrance Bonner, LMT

Practitioner Massage Therapist Columbus, MS

Practice location

Address: 326 Military Rd, Columbus, MS 39701-4670
Phone: (662) 798-0150

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1795 (MS)

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Registry record

NPI: 1669298113
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2024
Record last updated: 2 Dec 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.