Georgene Ferrie, LMT

Individual provider Active NPI Massage Therapist · Fayette, MS

NPI 1265063135 · NPPES record last updated Jan 30, 2020

Key facts

NPI
1265063135
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
0863 (MS)
Practice address
1612 Main St.
Fayette, MS 39069
Phone
(601) 786-7202
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0863MSMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0863 MS Yes

Addresses

Primary practice location

1612 Main St.
Fayette, MS 39069

Mailing address

PO Box 281
Fayette, MS 39069-0281
Phone (601) 786-7202

Other names

  • Gina Ferrie Professional name

Other providers in Fayette, MS

All providers in Fayette, MS · Massage Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.