Individual
KERMIT MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
211 N PARK DR, GREENSBORO, NC 27401-1535
(336) 577-3347
Mailing address
211 N PARK DR, GREENSBORO, NC 27401-1535
(336) 577-3347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03919
NC
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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