Individual
KATIE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP, LMBT (NC#11271)
Contact information
Practice address
2012 S MAIN ST STE 508, WAKE FOREST, NC 27587-5008
(919) 602-2865
Mailing address
40 GEORGETOWN WOODS DR, YOUNGSVILLE, NC 27596-7613
(919) 554-0658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11271
NC
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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