Individual
MR. WALTER BOYD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
8525 PIT STOP CT NW STE B, CONCORD, NC 28027-8338
(980) 309-0893
Mailing address
4828 SHADOW PINE DR, CHARLOTTE, NC 28269-5137
(704) 957-1450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8059
NC
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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