MEDICARE: TWILAH FAYE HEALING STUDIO

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

General Provider Information

NPI Number	:	1275488215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWILAH FAYE HEALING STUDIO

Provider Business Mailing Address
First Line	:	1663 PRINCE ST FL 2
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2818
Country	:	US
Telephone Number	:	240-302-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	1663 PRINCE ST FL 2
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2818
Country	:	US
Telephone Number	:	240-302-4043
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER & OWNER
Name	:	PEARLINE TWILAH-FAYE MUCKELVENE
Credential	:	LMT
Telephone Number	:	240-302-4043

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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