Individual
MRS. MEGAN KENZIE OLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC LMBT
Contact information
Practice address
203B LONG ST, JEFFERSON, NC 28640-9518
(336) 620-7125
Mailing address
2007A BEN BOLEN RD, CRESTON, NC 28615-9518
(336) 620-7125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NOT AVAILABLE
—
Enumeration date
01/04/2023
Last updated
01/04/2023
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