Individual provider · Type 1 NPI
Theresa Benton
Massage Therapist · Fairfax, VA
NPI number
1407576689
Active
Practice location
8500 Executive Park Ave Ste 300
Fairfax, VA 22031-2228
Mailing address
4518 Samuels Pine Rd
Chantilly, VA 20151-1419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019018874 (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.
3 other providers at this address
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About NPI 1407576689
Theresa Benton's National Provider Identifier is 1407576689, issued on Aug 30, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 30, 2022.