MS. THEA ROCHELLE MARTIN LMT,
NPI 1255658357
Massage Therapist in Long Beach, MS
- Individual
- Female
- Massage Therapist
About THEA MARTIN
This page provides the complete NPI Profile along with additional information for Thea Martin, a provider established in Long Beach, Mississippi with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1255658357 assigned on April 2010. The practitioner's primary taxonomy code is 225700000X with license number LMT 1654 (MS). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1255658357 Verify this NPI
- Provider Name
- MS. THEA ROCHELLE MARTIN LMT,
- Other Name
- MS. SHELLY MARTIN LMT
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 206 KUYRKENDALL PL LONG BEACH, MS 39560
- Location Phone
- (228) 323-1113
- Mailing Address
- 206 KUYRKENDALL PL LONG BEACH, MS 39560
- Mailing Phone
- (228) 323-1113
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-28-2010
- Last Update Date
- 04-28-2010
- Code Navigator
Location Map
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.
- LMT 1654
- License State
- MS
- 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 1255658357, enumerated as an "individual" on April 28, 2010.
The provider is located at 206 KUYRKENDALL PL LONG BEACH, MS 39560 and the phone number is (228) 323-1113.
Massage Therapist with taxonomy code 225700000X.
