NPI 1104532472 · live from the CMS NPI Registry
Jodie Bailey, LMBT, MLD-C, CST
Massage Therapist in Cornelius, NC. National Provider Identifier 1104532472, active.
NPI record
| NPI | 1104532472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 20830 Torrence Chapel Rd Unit 101, Cornelius, NC 28031 |
| Practice phone | 704-359-7100 |
| Mailing address | 10726 Waycross Dr, Huntersville, NC 28078 |
| Enumerated | January 30, 2023 |
| Last updated | January 30, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 20599 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.