MRS. Jamie Carol Ewing, LMT,PTA

NPI #1770874588 in Wake Forest, North Carolina

Provider Information

NPI Number: 1770874588
Entity Type: Individual
Name: MRS. Jamie Carol Ewing, LMT,PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT,PTA
Enumeration Date: Apr 27, 2011
Last Updated: Oct 23, 2015

Practice Location

Address: 1304 DUGWAY CT
City: Wake Forest
State: North Carolina
ZIP Code: 27587-5535
Phone: (304) 640-2980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Massage Therapist	225700000X	Primary

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