Individual provider · Type 1 NPI

Keiada Theodule

Massage Therapist · Norfolk, VA

NPI number 1205547346 Active

Practice location

104 W Moreell Cir
Norfolk, VA 23505-1361

Call (240) 437-2704 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19016712 (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 1205547346

Keiada Theodule's National Provider Identifier is 1205547346, issued on Dec 9, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Norfolk, VA. The record was last updated on Dec 9, 2022.