Provider Demographics
NPI:1790579308
Name:FRANCIS, ALTHEA (LICENSE MASSAGE THER)
Entity type:Individual
Prefix:
First Name:ALTHEA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:
Credentials:LICENSE MASSAGE THER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8925 CHESAPEAKE BLVD APT F
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-3711
Mailing Address - Country:US
Mailing Address - Phone:757-403-5620
Mailing Address - Fax:
Practice Address - Street 1:157 E LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2553
Practice Address - Country:US
Practice Address - Phone:757-403-5620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019010971225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist