Individual
KATIE MICHELLE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 RAEFORD RD, FAYETTEVILLE, NC 28305-5028
(910) 987-9338
Mailing address
3525 BEECHNUT CT, FAYETTEVILLE, NC 28311-3215
(210) 323-9524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20211
NC
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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