Margaret Prue
Individual provider Active NPI Massage Therapist · Bim, WV
NPI 1902200967 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1902200967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 29120 Spring Hollow Rd
Bim, WV 25021-0005 - Phone
- (304) 247-6768
- NPI assigned
- Oct 20, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
29120 Spring Hollow Rd
Bim, WV 25021-0005
Mailing address
29120 Pondfork Rd
Bim, WV 25021-0005
Phone (304) 247-6768
Other providers in Bim, WV
All providers in Bim, WV · Massage Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2014. 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.