Ginger Paige Humphreys, B.A., L.M.T., M.M.P.
Massage Therapist in Russellville, AR. Individual provider (NPI-1).
NPI number1649462011
StatusActive
Last updated in NPPESAug 9, 2007
Details
- NPI
- 1649462011
- Entity type
- Individual (NPI-1)
- Name
- Ginger Paige Humphreys
- Credential
- B.A., L.M.T., M.M.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2007
- Last updated
- Aug 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2905 | AR | Yes |
Practice location
140 Caglesville LnRussellville, AR 72802-1202
Phone 501-652-0393
Mailing address
140 Caglesville LnRussellville, AR 72802-1202
Phone 501-652-0393
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All 15 Massage Therapist providers in Russellville · All 1,590 providers in Russellville
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