Individual
CONNIE W WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, LMBT
Contact information
Practice address
599 GARNER CHAPEL RD, MOUNT OLIVE, NC 28365-6146
(919) 658-0476
Mailing address
599 GARNER CHAPEL RD, MOUNT OLIVE, NC 28365-6146
(919) 658-0476
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
CERTIFICATION
NC
2255A2300X
Athletic Trainer
0580
NC
225700000X
Massage Therapist
724
NC
Other
Enumeration date
07/06/2006
Last updated
09/11/2025
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