NPI 1558066936 · live from the CMS NPI Registry
Alicia Bonner
Massage Therapist in Greensboro, NC. National Provider Identifier 1558066936, active.
NPI record
| NPI | 1558066936 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 14 Aspen Dr Apt B, Greensboro, NC 27409 |
| Practice phone | 336-543-6929 |
| Enumerated | April 4, 2023 |
| Last updated | April 4, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 17228 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.