Mark Darwin Pugh, Sr. in Shreveport - Massage Therapist
Mark Darwin Pugh, Sr. - NPI 1245430842
Mark Darwin Pugh, Sr. is a Massage Therapist in Shreveport, Louisiana. Mark Darwin Pugh, Sr. practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mark Darwin Pugh, Sr. is 1245430842. The last update date is 2007-07-21.
Mark Darwin Pugh, Sr.'s current location address is 111 Freestate Blvd Ste 110, Shreveport, Louisiana. You can contact this provider via phone number 3187736456. The mailing address for Mark Darwin Pugh, Sr. is 111 Freestate Blvd Ste 110, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Darwin Pugh, Sr. |
|---|---|
| Address | 111 Freestate Blvd Ste 110, Shreveport, Louisiana |
| Phone Number | 3187736456 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RRT, LMT |
NPI Number Detail
| NPI Number | 1245430842 |
|---|---|
| Provider Enumeration Date | 2007-07-21 |
| Last Updated Date | 2007-07-21 |
Provider Mailing Address Detail
| Address | 111 Freestate Blvd Ste 110 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711076540 |
| Phone Number | 3187736456 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | LA6045 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Darwin Pugh, Sr.?
The Mark Darwin Pugh, Sr. has been issued the NPI (National Provider Identifier) 1245430842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mark Darwin Pugh, Sr. is physically located?
The Mark Darwin Pugh, Sr. is situated at the following address: 111 Freestate Blvd Ste 110, Shreveport, LA 711076540.
What is Mark Darwin Pugh, Sr.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Darwin Pugh, Sr. is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245430842 to Mark Darwin Pugh, Sr.?
The Centers for Medicare & Medicaid Services assigned the 1245430842 to Mark Darwin Pugh, Sr. on 2007-07-21.
When was the Mark Darwin Pugh, Sr.'s information last updated?
The Mark Darwin Pugh, Sr.'s information was last updated on 2007-07-21.
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