Individual
MEGAN KRISTINE RUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
125 JEFF DAVIS AVE, LONG BEACH, MS 39560-6134
(228) 313-9208
(228) 868-4991
Mailing address
125 JEFF DAVIS AVE, LONG BEACH, MS 39560-6134
(228) 313-9208
(228) 868-4991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 60018937
WA
225700000X
Massage Therapist
Primary
2645
MS
Other
Enumeration date
01/20/2009
Last updated
01/16/2020
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