Organization
MASSAGE REVOLUTION
Active
Other names
Massage Revolution, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM SANTA CRUZ (OPERATIONS MANAGER)
(601) 918-1853
Entity
Organization
Contact information
Practice address
210 E CAPITOL ST, SUITE M-142, JACKSON, MS 39201-2306
(601) 918-1853
Mailing address
210 E CAPITOL ST, SUITE M-142, JACKSON, MS 39201-2306
(601) 918-1853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2027
MS
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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