Organization
CAROLINA MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GRANTHAM (OFFICE ADMINISTRATOR)
(919) 570-6556
Entity
Organization
Contact information
Practice address
2006 S MAIN ST STE 206, WAKE FOREST, NC 27587-9391
(919) 570-6556
(919) 882-1141
Mailing address
2006 S MAIN ST STE 206, WAKE FOREST, NC 27587-9391
(919) 570-6556
(919) 882-1141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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