Organization
TIMELESS INNERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FOXYRAE CAMPBELL LMBT (OWNER/NEUROMUSCULAR THERAPIST)
(704) 681-7671
Entity
Organization
Contact information
Practice address
4614 WILGROVE MINT HILL RD, SUITE C-11, MINT HILL, NC 28227-3500
(704) 681-7671
(704) 681-7671
Mailing address
13809 SUMMIT COMMONS BLVD APT R, CHARLOTTE, NC 28277-0439
(704) 681-7671
(704) 681-7671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11113
NC
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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