MEDICARE: IBRAHIMA S SIDIBE MASSAGE THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	LMT0403	MS

General Provider Information

NPI Number	:	1801102447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IBRAHIMA S SIDIBE MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	6555 U S HIGHWAY 98
Second Line	:	SUITE A
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-8699
Country	:	US
Telephone Number	:	601-261-0111
Fax Number	:	601-579-9782

Provider Business Practice Location Address
First Line	:	6555 US 98 WEST
Second Line	:	SUITE A
City	:	HATTIESBURG
State	:	MS
Zip	:	39402
Country	:	US
Telephone Number	:	601-261-0191
Fax Number	:	601-579-9782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2010
Last Update Date	:	08/20/2010

Similar Medicare Providers

1245890144 — MRS. NICOLE JONES MOORE NP
Practice Location Address:

102 E HOSPITAL DR
HATTIESBURG, MS
39402-1310

Practice Phone: 601-475-9968
Practice Fax: 601-475-9969

1033052923 — ACCEL SPECIALTY HEALTH LLC
Practice Location Address:

22 MILLBRANCH RD STE 200
HATTIESBURG, MS
39402-1591

Practice Phone: 919-270-3277
Practice Fax:

1770031643 — JESSE MITCHELL LCSW
Practice Location Address:

5 ORLEANS DR STE 3
HATTIESBURG, MS
39402-2109

Practice Phone: 662-304-9043
Practice Fax:

1740124106 — STEPHEN LYLE DEAN
Practice Location Address:

4 WILLOW PT STE 70
HATTIESBURG, MS
39402-1150

Practice Phone: 601-550-6773
Practice Fax: 601-620-2882

1356625008 — ST JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC
Practice Location Address:

32 MILLBRANCH RD STE 30
HATTIESBURG, MS
39402-1673

Practice Phone: 601-261-2515
Practice Fax: 601-261-2788

1275477457 — DR. BRIDGETTE NICOLE LEE PHARMD
Practice Location Address:

6555 U S HIGHWAY 98
HATTIESBURG, MS
39402-8699

Practice Phone: 601-298-1881
Practice Fax:

1013752955 — BLAKE EDWIN BOLEWARE
Practice Location Address:

5001 HARDY ST
HATTIESBURG, MS
39402-1308

Practice Phone: 601-268-8000
Practice Fax:

Directions to “ IBRAHIMA S SIDIBE MASSAGE THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.