Annette Rodgers, LMBT
Individual provider Active NPI Massage Therapist · Floyd, VA
NPI 1750151098 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1750151098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019018739 (VA)
- Practice address
- 187 N. Locust St.
Floyd, VA 24091-0187 - Phone
- (540) 695-4107
- NPI assigned
- Jan 8, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0019018739 | VA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019018739 | VA | Yes |
Addresses
Primary practice location
187 N. Locust St.
Floyd, VA 24091-0187
Mailing address
135 Halls Store Rd SW
Willis, VA 24380-4984
Phone (540) 695-4107
Other providers in Floyd, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.