NPI 1255009957 · live from the CMS NPI Registry
Regina Jenee Bass
Massage Therapist in Winston Salem, NC. National Provider Identifier 1255009957, active.
NPI record
| NPI | 1255009957 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 747 Summit St Ste A, Winston Salem, NC 27101 |
| Practice phone | 336-997-9029 |
| Mailing address | 5334 Northridge Dr, Winston Salem, NC 27105 |
| Enumerated | August 30, 2021 |
| Last updated | August 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 11774 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.