Individual provider · Type 1 NPI
Katie Autumn Thurston
Massage Therapist · Virginia Beach, VA
NPI number
1821759515
Active
Practice location
4598 Broad St
Virginia Beach, VA 23462-2839
Mailing address
4598 Broad St Ste 100
Virginia Beach, VA 23462-2839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019018282 (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 1821759515
Katie Autumn Thurston's National Provider Identifier is 1821759515, issued on Jan 4, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on May 22, 2023.