IndividualActive
Ibrahima Sidibe, MASSAGE THERAPIST
NPI 1801102447 · Massage Therapist · Hattiesburg, MS
Provider details
- NPI number
- 1801102447
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMT0403 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6555 US 98 West
Suite a
Hattiesburg, MS 39402
Phone: (601) 261-0191
Fax: (601) 579-9782
Street-level locationGet directions
Mailing address
6555 U S Highway 98
Hattiesburg, MS 39402-8699
Registry dates
- Enumerated
- 2010-08-20
- Last updated
- 2010-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.