NPI 1558072892 · live from the CMS NPI Registry
Anna Azaglo
Massage Therapist in Clemmons, NC. National Provider Identifier 1558072892, active.
NPI record
| NPI | 1558072892 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6255 Towncenter Dr Unit 15222703, Clemmons, NC 27012 |
| Practice phone | 980-230-6051 |
| Enumerated | December 7, 2022 |
| Last updated | December 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 19856 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.