Individual
JENNIFER PATTERSON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
110 W KING ST STE 2, KINGS MOUNTAIN, NC 28086-3437
(704) 739-3373
Mailing address
110 W KING ST STE 2, KINGS MOUNTAIN, NC 28086-3437
(704) 739-3373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13420
STATE LICENSE
NC
Enumeration date
09/19/2017
Last updated
07/21/2022
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