Organization
SHAPED HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTYLE RAINEY (OWNER)
(704) 678-2403
Entity
Organization
Contact information
Practice address
2020 REMOUNT RD STE E-105, GASTONIA, NC 28054-7476
(704) 931-8286
Mailing address
2020 REMOUNT RD STE E105, GASTONIA, NC 28054-7476
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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