Massage Revolution
NPI 1053754580ActiveOrganization· Specialist· Jackson, MS
Specialist in Jackson, Mississippi, registered in NPPES in April 2013. The authorized official on file is Laura Manning, LMT, Partner/Owner.
Overview
| NPI | 1053754580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2013 |
| Last updated in NPPES | Apr 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | LMT 2025 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Jackson
- 1386861649
- 1114911765
- 1548213887
- 1124266952
- 1982821310
- 1699810069
- 1477726719
- 1043433303
- 1265768618
- 1659556298
- 1649499740
- 1609960749