OrganizationActive
Massage Revolution
NPI 1053754580 · Specialist · Jackson, MS
Massage Revolution is a Specialist organization in Jackson, MS (NPI 1053754580).
Provider details
- NPI number
- 1053754580
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Laura Manning, Partner/Owner(601) 918-1853
- License
- LMT 2025 (MS)
Practice location
210 E Capitol St
Ste M-142
Jackson, MS 39201-2306
Phone: (601) 918-1853
Street-level locationGet directions
Mailing address
210 E Capitol St Ste M-142
Jackson, MS 39201-2306
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2013-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.