Organization
BLACK MOUNTAIN MASSAGE AND WELLNESS CENTER LLC
Active
Other names
Black Mountain Massage & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KAY HANSEN NC LMBT (OWNER/MANAGER)
(208) 201-6452
Entity
Organization
Contact information
Practice address
106 S RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3511
(828) 674-6188
Mailing address
401 BETHLEHEM RD, OLD FORT, NC 28762-5739
(208) 201-6452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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