Individual provider · Type 1 NPI

Dwayne Fires, CMT

Massage Therapist · Chesapeake, VA

NPI number 1174059349 Active

Practice location

734 Green Tree Cir, Apt 203
Chesapeake, VA 23320-3788

Mailing address

734 Green Tree Circle, Apt 203
Chesapeake, VA 23320-3789

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019004740 (VA)

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 1174059349

Dwayne Fires, CMT's National Provider Identifier is 1174059349, issued on May 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chesapeake, VA. The record was last updated on May 10, 2017.