Individual
MS. REGINA KAYE EARNHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4414 PHIFER RD, MARSHVILLE, NC 28103-9019
(980) 213-8056
Mailing address
4414 PHIFER RD, MARSHVILE, NC 28103
(980) 213-8056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064
LMBT
NC
Enumeration date
08/28/2016
Last updated
08/28/2016
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