Individual
TINA BENNETT PENLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3754 BREVARD RD, SUITE 105, HORSE SHOE, NC 28742-8752
(828) 606-0258
Mailing address
115 WILLOW PEAK RD, HENDERSONVILLE, NC 28739-8341
(828) 692-7041
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7485
NC
Other
Enumeration date
06/02/2008
Last updated
06/27/2020
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