Individual
JAMIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1916 24TH AVE, GULFPORT, MS 39501-2975
(228) 346-1711
Mailing address
1916 24TH AVE, GULFPORT, MS 39501-2975
(228) 346-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3941
MS
Other
Enumeration date
12/12/2025
Last updated
03/19/2026
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