NPI 1104550763 · live from the CMS NPI Registry
John Ted Acceus
Massage Therapist in Winston Salem, NC. National Provider Identifier 1104550763, active.
NPI record
| NPI | 1104550763 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 3010 Northwood Dr, Winston Salem, NC 27106 |
| Practice phone | 336-473-6346 |
| Enumerated | July 11, 2022 |
| Last updated | July 11, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 20441 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.