Individual
MS. JANAE QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #18243
Contact information
Practice address
20200 ZION AVE STE 3, CORNELIUS, NC 28031-8546
(704) 508-9770
Mailing address
20200 ZION AVE STE 3, CORNELIUS, NC 28031-8546
(704) 508-9770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18243
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555
555
—
Enumeration date
06/30/2021
Last updated
06/30/2021
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