Individual provider · Type 1 NPI

Ibrahima S. Sidibe, MASSAGE THERAPIST

Massage Therapist · Hattiesburg, MS

NPI number 1801102447 Active

Practice location

6555 US 98 West, Suite A
Hattiesburg, MS 39402

Call (601) 261-0191 Map

Fax (601) 579-9782

Mailing address

6555 U S Highway 98, Suite A
Hattiesburg, MS 39402-8699

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT0403 (MS)

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 1801102447

Ibrahima S. Sidibe, MASSAGE THERAPIST's National Provider Identifier is 1801102447, issued on Aug 20, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 20, 2010.