Individual
JACKIE LORRAINE QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 EVERETT ST, LAURINBURG, NC 28352-3731
(336) 389-8989
Mailing address
506 EVERETT ST, LAURINBURG, NC 28352-3731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15747
NC
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1919703
AMTA
—
Enumeration date
04/17/2021
Last updated
04/17/2021
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