NPI 1912365065 · live from the CMS NPI Registry
Mark Beam, LMBT
Massage Therapist in Harrisburg, NC. National Provider Identifier 1912365065, active.
NPI record
| NPI | 1912365065 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6596 Roberta Rd, Suite B, Harrisburg, NC 28075 |
| Practice phone | 980-521-6427 |
| Mailing address | 801 Bostwood Ln, Concord, NC 28025 |
| Enumerated | February 4, 2016 |
| Last updated | February 4, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 13656 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.