Individual provider · Type 1 NPI

Mary Phillips

Massage Therapist · Deridder, LA

NPI number 1538086954 Active

Practice location

822 N Pine St
Deridder, LA 70634-2814

Mailing address

1804 Elmer Neely Dr
Deridder, LA 70634-4505

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9410 (LA)

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 1538086954

Mary Phillips's National Provider Identifier is 1538086954, issued on Jul 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Deridder, LA. The record was last updated on Jul 6, 2026.