NPI 1790167690 · live from the CMS NPI Registry
Wanda Larrie Nayeema Archie-Raheem, CMT
Massage Therapist in Fayetteville, NC. National Provider Identifier 1790167690, active.
NPI record
| NPI | 1790167690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 115 S Cool Spring St Ste 1-A, Fayetteville, NC 28301 |
| Practice phone | 803-873-7388 |
| Mailing address | 115 S Cool Spring St, Fayetteville, NC 28301 |
| Enumerated | June 26, 2015 |
| Last updated | June 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 17329 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.