Individual
KARIN SIEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CST-D, MLD-C
Contact information
Practice address
420 N HOWE ST, SOUTHPORT, NC 28461-3422
(910) 612-6618
Mailing address
709 ALYSSUM AVE, CASWELL BEACH, NC 28465-8425
(910) 612-6618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11275
NC
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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