Individual
VICTORIA THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
106 S RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3511
(825) 674-6188
Mailing address
106 S RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3511
(825) 674-6188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22899
NC
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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