MR. Richard Sears Cockrell III

NPI #1083496855 in Virginia Beach, Virginia

Provider Information

NPI Number: 1083496855
Entity Type: Individual
Name: MR. Richard Sears Cockrell III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 17, 2023
Last Updated: Oct 17, 2023

Practice Location

Address: 700 INDEPENDENCE CIR
City: Virginia Beach
State: Virginia
ZIP Code: 23455-6405
Phone: (435) 680-1016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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