Individual
RICKY PREVATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
7016 HILDRETH CT, CHARLOTTE, NC 28226-3802
(704) 890-8225
Mailing address
7016 HILDRETH CT, CHARLOTTE, NC 28226-3802
(704) 890-8225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1154
NC
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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