Provider / Organization | NPI | Date Certified |
---|---|---|
MOUNTAIN STATE MEDICAL MASSAGE | 1558089904 | 2023-01-18 |
The organization Mountain State Medical Massage is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558089904. Registration indicates Mountain State Medical Massage is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Code | Practice | License No State |
---|---|---|
225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
193400000X SING | Group Code |