Massage By Raven (Mobile, Clinical, Massage)
Massage Therapist in Chesapeake, VA. Organization (NPI-2).
NPI number1144974841
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1144974841
- Entity type
- Organization (NPI-2)
- Legal business name
- Massage By Raven (Mobile, Clinical, Massage)
- Organization subpart
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Jan 20, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
732 Eden Way North Suite EChesapeake, VA 23320-2798
Phone 757-453-5513
Mailing address
732 Eden Way N Ste EChesapeake, VA 23320-2798
Phone 757-453-5513
Authorized official
Raven Walker
Licensed Massage Therapist/Owner
7574535513
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