NEW RIVER MEDICCAL MASSAGE is a specialist in Radford, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW RIVER MEDICCAL MASSAGE NPI is 1194105247. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
319 W MAIN ST
RADFORD, VA
ZIP 24141-586
Phone: (540) 633-3828
Fax: (540) 633-3829
The provider's authorized official is Robert Ernest Wallace .
The authorized official title is Owner/therapist and has the following contact phone number (540) 633-3828.
The CLIA number assigned to this NPI record is 49D0891401 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/4/2015.