Individual provider · Type 1 NPI
Serita Bostick, LMT
Massage Therapist · Virginia Beach, VA
NPI number
1346843026
Active
Practice location
4605 Pembroke Lake Cir Ste 303
Virginia Beach, VA 23455-6448
Mailing address
3300 Gwin St
Portsmouth, VA 23704-6019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019010291 (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 1346843026
Serita Bostick, LMT's National Provider Identifier is 1346843026, issued on Nov 17, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jan 2, 2023.