Massage Revolution
NPI #1053754580 in Jackson, Mississippi
Provider Information
- NPI Number
- 1053754580
- Entity Type
- Organization
- Organization Name
- Massage Revolution
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 15, 2013
- Last Updated
- Apr 15, 2013
Practice Location
- Address
- 210 E CAPITOL ST
- Address 2
- STE M-142
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39201-2306
- Phone
- (601) 918-1853
Authorized Official
- Name
- MS. LAURA MANNING, LMT
- Title
- PARTNER/OWNER
- Phone
- (601) 918-1853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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