Megan Kristine Runkel, LMP
Massage Therapist in Long Beach, MS. Individual provider (NPI-1).
NPI number1669619201
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1669619201
- Entity type
- Individual (NPI-1)
- Name
- Megan Kristine Runkel
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2009
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2645 | MS | Yes |
| 174400000X | Specialist | MA 60018937 | WA |
Practice location
125 Jeff Davis AveLong Beach, MS 39560-6134
Phone 228-313-9208 · Fax 228-868-4991
Mailing address
125 Jeff Davis AveLong Beach, MS 39560-6134
Phone 228-313-9208 · Fax 228-868-4991
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