Individual
MR. RIEN STEPHEN PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1410 ALDON ST, FOLEY, AL 36535-3607
(360) 977-3755
(000) 000-0000
Mailing address
1410 ALDON ST, FOLEY, AL 36535-3607
(360) 977-3755
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6053
AL
172M00000X
Mechanotherapist
MA00017755
WA
174400000X
Specialist
MA00017755
WA
225700000X
Massage Therapist
MA00017755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6053
MECHANOTHERAPY
AL
01
—
MA00017755
MECHANOTHERAPY
WA
Enumeration date
01/02/2007
Last updated
10/24/2022
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