Individual
MR. THEADY EARL JAMES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
404 HOPE MILLS RD, FAYETTEVILLE, NC 28304-2222
(910) 705-7567
Mailing address
2282 LAKEWELL CIR, FAYETTEVILLE, NC 28306-9774
(954) 599-0084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14240
NC
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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