Organization
MILES MASSAGE INC.
Active
Organization
MILES MASSAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L. CARR (OWNER)
(703) 582-5115
Entity
Organization
Contact information
Practice address
6058B ESSEX HOUSE SQ, ALEXANDRIA, VA 22310-4315
(703) 582-5115
(202) 450-2857
Mailing address
6058B ESSEX HOUSE SQ, ALEXANDRIA, VA 22310-4315
(703) 582-5115
(202) 450-2857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
0019002576
VA
225700000X
Massage Therapist
MT124
DC
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
11/29/2011
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