Carolina Massage Therapy

NPI #1215459250 in Wake Forest, North Carolina

Provider Information

NPI Number: 1215459250
Entity Type: Organization
Organization Name: Carolina Massage Therapy
Primary Specialty: Massage Therapist
Enumeration Date: Jul 12, 2017
Last Updated: Jul 12, 2017

Practice Location

Address: 2006 S MAIN ST STE 206
City: Wake Forest
State: North Carolina
ZIP Code: 27587-9391
Phone: (919) 570-6556

Authorized Official

Name: JILL GRANTHAM
Title: OFFICE ADMINISTRATOR
Phone: (919) 570-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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