NPI 1346080686 · live from the CMS NPI Registry
Johntae Lana Bailey, massage therapist
Massage Therapist in Raleigh, NC. National Provider Identifier 1346080686, active.
NPI record
| NPI | 1346080686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 920 Paverstone Dr Ste B, Raleigh, NC 27615 |
| Practice phone | 919-228-8501 |
| Mailing address | 5129 Chasteal Trl, Raleigh, NC 27610 |
| Enumerated | May 24, 2024 |
| Last updated | May 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 15949 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.