Individual
NANCY ELIZABETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMBT #6773
Contact information
Practice address
225 BIRCH ST, 1 - 6, BOONE, NC 28607-5535
(828) 964-8691
Mailing address
PO BOX 2223, BOONE, NC 28607-2223
(828) 406-9186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6773
NC
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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