NPI 1043761984 · live from the CMS NPI Registry
Evette Lemille Blevins
Massage Therapist in Fayetteville, NC. National Provider Identifier 1043761984, active.
NPI record
| NPI | 1043761984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 101 Pigeonhouse Ct, Fayetteville, NC 28311 |
| Practice phone | 910-496-6896 |
| Enumerated | October 15, 2016 |
| Last updated | March 10, 2026 |
| Sole proprietor | No |
| Other names | Evette Davis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | CN0014238439 (GA) |
| Massage Therapist primary | 225700000X | — (NC) |
| Behavior Technician | 106S00000X | — (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.