NPI 1619372273 · live from the CMS NPI Registry
Gina Booth, LMBT, MMT
Massage Therapist in Manteo, NC. National Provider Identifier 1619372273, active.
NPI record
| NPI | 1619372273 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 711 N Hwy 64, Manteo, NC 27954 |
| Practice phone | 252-256-2717 |
| Mailing address | 129 Dolphin Dr, Manteo, NC 27954 |
| Enumerated | October 24, 2014 |
| Last updated | October 24, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 11661 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.