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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019018282 (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.