Individual provider · Type 1 NPI

Domergue D. Willingham, LMT, MMT, C.M.A.

Massage Therapist · Chesapeake, VA

NPI number 1992542427 Active

Practice location

4300 Portsmouth Blvd Ste 262
Chesapeake, VA 23321-2138

Call (757) 270-6469 Map

Mailing address

4004 Sunkist Rd
Chesapeake, VA 23321-3122

Other practice locations

  • 4004 Sunkist Rd, Chesapeake, VA 23321-3122 · (757) 270-6469

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019015125 (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 1992542427

Domergue D. Willingham, LMT, MMT, C.M.A.'s National Provider Identifier is 1992542427, issued on Jul 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 11, 2024.