Individual
MATTHEW CHVATAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
3948 WENDY LN, RALEIGH, NC 27606-1866
(919) 306-7582
Mailing address
3948 WENDY LN, RALEIGH, NC 27606-1866
(919) 306-7582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15073
NC
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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