NPI 1174313555 · live from the CMS NPI Registry
Evenny Gladys Alford, LMBT
Massage Therapist in Fayetteville, NC. National Provider Identifier 1174313555, active.
NPI record
| NPI | 1174313555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6532 Brookstone Ln Apt 202, Fayetteville, NC 28314 |
| Practice phone | 910-709-1050 |
| Enumerated | May 8, 2025 |
| Last updated | June 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 194295 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.