NPI 1376072389 · live from the CMS NPI Registry
Zondra Blackmon, LMBT
Massage Therapist in Charlotte, NC. National Provider Identifier 1376072389, active.
NPI record
| NPI | 1376072389 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12341 Verdant Ct, Charlotte, NC 28273 |
| Practice phone | 704-905-4818 |
| Enumerated | June 5, 2017 |
| Last updated | June 5, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 09696 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.