Individual provider · Type 1 NPI
Chandra Dawn Justice, MMP
Massage Therapist · Tishomingo, OK
NPI number
1003394263
Active
Practice location
101 N Kemp Ave
Tishomingo, OK 73460-1719
Mailing address
807 N Byrd St
Tishomingo, OK 73460-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 157062 (OK) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Tishomingo
About NPI 1003394263
Chandra Dawn Justice, MMP's National Provider Identifier is 1003394263, issued on Jul 31, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tishomingo, OK. The record was last updated on Jul 31, 2018.