Individual
DESTINY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7928 COUNCIL PL STE 106, MATTHEWS, NC 28105-5154
(980) 552-1075
Mailing address
7928 COUNCIL PL STE 106, MATTHEWS, NC 28105-5154
(980) 552-1075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21006
NC
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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