NPI 1083479646 · live from the CMS NPI Registry
Traci Dawn Brantley, LMBT
Massage Therapist in Clayton, NC. National Provider Identifier 1083479646, active.
NPI record
| NPI | 1083479646 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1058 Government Rd, Clayton, NC 27520 |
| Practice phone | 919-464-0413 |
| Enumerated | February 13, 2024 |
| Last updated | February 14, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 16555 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.