STEPHANIE ANNE BEASEY LM, CLT, MLDC
NPI 1376243808
Massage Therapist in Hattiesburg, MS

Active since March 03, 2023
120 98 PLACE BLVD, HATTIESBURG, MS 39402(225) 938-9904 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Anne Beasey Lm, Clt, Mldc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ANNE BEASEY LM, CLT, MLDC (NPI 1376243808) is an individual massage therapist in Hattiesburg, Mississippi, licensed in Mississippi (1958) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1376243808
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTEPHANIE ANNE BEASEYCredential: LM, CLT, MLDC
Location Address120 98 PLACE BLVDHattiesburg, MS 39402-8676
Mailing Address111 Joann DrSumrall, MS 39482 · (225) 938-9904
Sole ProprietorYes
Enumeration DateMarch 3, 2023
NPPES CertifiedMarch 1, 2023
NPI 1376243808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MS · 1958
Definition

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.

120 98 PLACE BLVD, Hattiesburg, MS 39402

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinical Exercise Physiologist
120 98 PLACE BLVD
HATTIESBURG, MS 39402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376243808, enumerated as an "individual" on March 03, 2023.

The provider is located at 120 98 PLACE BLVD HATTIESBURG, MS 39402 and the phone number is (225) 938-9904.

Massage Therapist with taxonomy code 225700000X.