Healthcare Provider Details

I. General information

NPI: 1831024686
Provider Name (Legal Business Name): SUNSHINE HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 24TH AVE
GULFPORT MS
39501-2975
US

IV. Provider business mailing address

1916 24TH AVE
GULFPORT MS
39501-2975
US

V. Phone/Fax

Practice location:
  • Phone: 228-313-9208
  • Fax:
Mailing address:
  • Phone: 228-313-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN RUNKEL
Title or Position: OWNER
Credential: CST-T, LMT#2645
Phone: 228-313-9208