NPI 1962016675 · live from the CMS NPI Registry
Manuel Barriga Van De Zande
Massage Therapist in Raleigh, NC. National Provider Identifier 1962016675, active.
NPI record
| NPI | 1962016675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6009 Falls Of Neuse Rd, Raleigh, NC 27609 |
| Practice phone | 919-355-8739 |
| Mailing address | 2324 Turtle Point Dr, Raleigh, NC 27604 |
| Enumerated | September 1, 2020 |
| Last updated | September 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 17557 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.