Organization
RESTORE WITH MASSAGE
Active
Organization
RESTORE WITH MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN M. ANTHONY (PRESIDENT)
(980) 241-8879
Entity
Organization
Contact information
Practice address
501 S LEE ST, GASTONIA, NC 28052-4011
(980) 241-8879
(704) 435-8298
Mailing address
PO BOX 877, CHERRYVILLE, NC 28021-0877
(980) 241-8879
(704) 435-8298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8205
NC
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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