Still Waters Msssage

NPI #1699146548 in Opp, Alabama

Provider Information

NPI Number: 1699146548
Entity Type: Organization
Organization Name: Still Waters Msssage
Primary Specialty: Massage Therapist
Enumeration Date: Oct 16, 2015
Last Updated: Oct 16, 2015

Practice Location

Address: 1800 W CUMMINGS AVE
City: Opp
State: Alabama
ZIP Code: 36467
Phone: (334) 493-4357

Authorized Official

Name: MRS. KELLIE VICTORIA KING, LMT
Title: LICENSED MASSAGE THERPIST
Phone: (334) 343-6325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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