MR. MARK PUGH, SR., RRT, LMT

Massage Therapist

Active Individual
NPI: 1245430842

Practice Address

111 FREESTATE BLVD STE 110
Shreveport, LA 71107

Phone: (318) 773-6456

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes LA6045 (LA)

Frequently Asked Questions

NPI 1245430842 is the National Provider Identifier for MR. MARK PUGH, SR., RRT, LMT, a Massage Therapist provider located in Shreveport, LA. This NPI was enumerated on July 21, 2007.
MR. MARK PUGH, SR., RRT, LMT practices at 111 FREESTATE BLVD STE 110, Shreveport, LA 71107.

Quick Facts

NPI
1245430842
Type
Individual
Enumerated
Jul 21, 2007
Last Updated
Jul 21, 2007

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