Organization
HEAVENLY GATES RELAXATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA V. RANKIN LMTB (OWNER/ THERAPIST)
(980) 337-9556
Entity
Organization
Contact information
Practice address
8539 MONROE RD, SUITE 125, CHARLOTTE, NC 28212-7510
(704) 337-9556
Mailing address
8539 MONROE RD, SUITE 125, CHARLOTTE, NC 28212-7510
(704) 337-9556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14809
NC BOARD OF MASSAGE AND BODY WORKS
NC
Enumeration date
03/16/2016
Last updated
03/16/2016
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