NPI 1003397027 · live from the CMS NPI Registry
Gina Brannagan
Massage Therapist in Waxhaw, NC. National Provider Identifier 1003397027, active.
NPI record
| NPI | 1003397027 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4706 Magnolia Ridge Dr, Waxhaw, NC 28173 |
| Practice phone | 704-219-2655 |
| Mailing address | Po Box 42, Waxhaw, NC 28173 |
| Enumerated | August 27, 2018 |
| Last updated | August 27, 2018 |
| Sole proprietor | Yes |
| Other names | Gina Brannagan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 6239 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.