Qua'Shellea Fairley Valid NPI
Individual provider · Massage Therapist · Diberville, MS
- NPI
- 1467251850
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 2921 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
Practice location
10216 3rd Ave Ste C
Diberville, MS 39540-2543
(228) 296-6130