Organization
KNEADED ENERGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NORMAN LMBT (OWNER)
(336) 273-1260
Entity
Organization
Contact information
Practice address
321 W WENDOVER AVE, GREENSBORO, NC 27408-8401
(336) 273-1260
Mailing address
321 W WENDOVER AVE, GREENSBORO, NC 27408-8401
(336) 273-1260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1601
NC
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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