Individual
TAYLOR RYAN WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT 14448
Contact information
Practice address
78 LANDFALL LN, SMITHFIELD, NC 27577-8987
(336) 399-0180
Mailing address
78 LANDFALL LN, SMITHFIELD, NC 27577-8987
(336) 399-0180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14448
NC
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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