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THE MAGNOLIA DAY SPA LLC NPI 1982399564


NPI Information

NPI: 1982399564
Provider Name: THE MAGNOLIA DAY SPA LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
4280 HARLOW BLVD
GREENVILLE, MS
ZIP 38701
Phone: (662) 390-4920
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THE MAGNOLIA DAY SPA LLC is a massage therapist in Greenville, MS. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. THE MAGNOLIA DAY SPA LLC NPI is 1982399564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4280 HARLOW BLVD
GREENVILLE, MS
ZIP 38701-604
Phone: (662) 390-4920

The provider's authorized official is Candace Miyori Minor .
The authorized official title is Licensed Massage Therapist / Owner and has the following contact phone number (662) 390-4920.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 4/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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