Organization
FIRE & ICE THERAPEUTIC MASSAGE,LLC
Active
Organization
FIRE & ICE THERAPEUTIC MASSAGE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SMITH DWYER LMBT (OWNER)
(704) 763-2059
Entity
Organization
Contact information
Practice address
4732 LEBANON RD, SUITE A, MINT HILL, NC 28227-9112
(704) 763-2059
(980) 317-8495
Mailing address
4732 LEBANON RD, SUITE A, MINT HILL, NC 28227-9112
(704) 763-2059
(980) 317-8495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14844
NC
Other
Enumeration date
06/19/2018
Last updated
09/02/2021
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