NPI 1396213666 · live from the CMS NPI Registry
Walter Boyd, LMBT
Massage Therapist in Concord, NC. National Provider Identifier 1396213666, active.
NPI record
| NPI | 1396213666 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 8525 Pit Stop Ct Nw Ste B, Concord, NC 28027 |
| Practice phone | 980-309-0893 |
| Mailing address | 4828 Shadow Pine Dr, Charlotte, NC 28269 |
| Enumerated | November 5, 2018 |
| Last updated | November 5, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 8059 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.