Individual
ELAINE MICHELLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4722 BENTTREE DR, MC LEANSVILLE, NC 27301-8107
(336) 339-8672
Mailing address
4722 BENTTREE DR, MC LEANSVILLE, NC 27301-8107
(336) 339-8672
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10742
NC
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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