NPI 1265008841 · live from the CMS NPI Registry
Jacob Henry Birkhead
Massage Therapist in Kings Mountain, NC. National Provider Identifier 1265008841, active.
NPI record
| NPI | 1265008841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 110 W King St Ste 2, Kings Mountain, NC 28086 |
| Practice phone | 704-739-3373 |
| Mailing address | 164 W Walnut Ave, Mount Holly, NC 28120 |
| Enumerated | June 3, 2021 |
| Last updated | June 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 19139 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.