Individual
GLENN JOSEPH MCIVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 TALA DR SW # 114, CONCORD, NC 28027-1742
(704) 962-5206
Mailing address
114 TALA DR SW # 114, CONCORD, NC 28027-1742
(704) 962-5206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22440
NC
Other
Enumeration date
06/14/2025
Last updated
06/16/2025
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