KEIADA THEODULE
NPI 1205547346
Massage Therapist in Norfolk, VA

Active since December 09, 2022
104 W MOREELL CIR, NORFOLK, VA 23505(240) 437-2704 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About KEIADA THEODULE

This page provides the complete NPI Profile along with additional information for Keiada Theodule, a provider established in Norfolk, Virginia with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1205547346 assigned on December 2022. The practitioner's primary taxonomy code is 225700000X with license number 19016712 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1205547346 Verify this NPI
Provider Name
KEIADA THEODULE
Gender
Female
Entity Type
Individual
Location Address
104 W MOREELL CIR NORFOLK, VA 23505
Location Phone
(240) 437-2704
Mailing Address
104 W MOREELL CIR NORFOLK, VA 23505
Is Sole Proprietor?
No
Enumeration Date
12-09-2022
Last Update Date
12-09-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
19016712
License State
VA
Taxonomy Description
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205547346, enumerated as an "individual" on December 09, 2022.

The provider is located at 104 W MOREELL CIR NORFOLK, VA 23505 and the phone number is (240) 437-2704.

Massage Therapist with taxonomy code 225700000X.