Organization · Type 2 NPI
Massage Revolution
Specialist · Jackson, MS
NPI number
1053754580
Active
Practice location
210 E Capitol St, Ste M-142
Jackson, MS 39201-2306
Mailing address
210 E Capitol St Ste M-142
Jackson, MS 39201-2306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | LMT 2025 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1053754580
Massage Revolution's National Provider Identifier is 1053754580, issued on Apr 15, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, MS. The record was last updated on Apr 15, 2013.