NPI 1790636439 · live from the CMS NPI Registry
Destiny Bolton
Massage Therapist in Matthews, NC. National Provider Identifier 1790636439, active.
NPI record
| NPI | 1790636439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7928 Council Pl Ste 106, Matthews, NC 28105 |
| Practice phone | 980-552-1075 |
| Enumerated | February 9, 2026 |
| Last updated | February 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 21006 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.