Organization
MYOLOGY SPORTS MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD VINCENT BOUNDS IV LMBT (OWNER)
(919) 332-6945
Entity
Organization
Contact information
Practice address
2609 DISCOVERY DR STE 125, RALEIGH, NC 27616-1905
(919) 332-6945
Mailing address
451 MAYVIEW DR, CREEDMOOR, NC 27522-7002
(919) 332-6945
(919) 332-6945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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