MS. Thea Rochelle Martin, LMT,

NPI #1255658357 in Long Beach, Mississippi

Provider Information

NPI Number: 1255658357
Entity Type: Individual
Name: MS. Thea Rochelle Martin, LMT,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT,
Enumeration Date: Apr 28, 2010
Last Updated: Apr 28, 2010

Practice Location

Address: 206 KUYRKENDALL PL
City: Long Beach
State: Mississippi
ZIP Code: 39560-3308
Phone: (228) 323-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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