Doctor Name: | STEVEN TRELFA |
NPI Number: | 1972713113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTRL, LMT |
License Number: | MT852 |
Business Practice Address: | 7639 Brookwood Pl Southaven, MS - 386715601 |
Business Phone Number: | 9014909223 |
Business Fax Number: | 6623932010 |
Mailing Address: | 7639 Brookwood Pl, SOUTHAVEN |
State: | MS |
Postal Code: | 386715601 |
Phone Number: | 9014909223 |
Fax Number: | 6623932010 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT852 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |