Individual provider · Type 1 NPI
Mary Kay
Massage Therapist · Beverly, MA
NPI number
1063643724
Active
Practice location
5 Ryan Pl
Beverly, MA 01915-3970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2846 (MA) |
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.
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About NPI 1063643724
Mary Kay's National Provider Identifier is 1063643724, issued on Jul 29, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beverly, MA. The record was last updated on Jul 29, 2009.