Organization
MUSCULAR THERAPEUTICS LA/MS
Active
Other names
Summit Wellness of Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
NICK GWEN (COO)
(228) 203-2088
Entity
Organization
Contact information
Practice address
2318 PASS RD STE 6, BILOXI, MS 39531-4044
(228) 203-2088
(228) 277-8070
Mailing address
2329 EDENBORN AVE, METAIRIE, LA 70001-1815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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