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Keiada Theodule
Massage Therapist in Norfolk, Virginia
NPI 1205547346

Keiada Theodule is a Massage Therapist based in Norfolk, VA. Keiada Theodule practices in Norfolk, VA. The NPI Number for Keiada Theodule is 1205547346 and holds a License No. 19016712 (Virginia).

The current practice location address for Keiada Theodule is 104 W Moreell Cir, Norfolk, VA and can be reached out via phone at 240-437-2704. You can also correspond with Keiada Theodule through the mailing address at 104 W MOREELL CIR, NORFOLK, VA - 23505-1361 (mailing address contact number: ).

Location: 104 W Moreell Cir, Norfolk, VA, 23505-1361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205547346
Provider Name
Keiada Theodule
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 W Moreell Cir, Norfolk, VA, 23505-1361
Phone Number
240-437-2704
Fax Number
Provider Enumeration Date
12/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 W Moreell Cir
City
Norfolk
State
Virginia
Zip
23505-1361
Phone Number
240-437-2704
Fax Number
person
Provider Business Mailing Address Details
Address
104 W Moreell Cir
City
Norfolk
State
Virginia
Zip
23505-1361
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
19016712 (Virginia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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