Doctor Name: | DR. REN MASSEY, JR. |
NPI Number: | 1710062641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 0858 |
Business Practice Address: | 1004 Hwy 45 Alt. S. West Point, MS - 39773 |
Business Phone Number: | 6624941500 |
Business Fax Number: | 6624947825 |
Mailing Address: | 1004 Hwy 45 Alt. S., WEST POINT |
State: | MS |
Postal Code: | 39773 |
Phone Number: | 6624941500 |
Fax Number: | 6624947825 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |