Whalio Doctors

NPI 1144760273

Outerbanks Massage With Goulet (omg)

Organisation Point of Service Southern Shores, NC

Practice location

Address
12 Juniper Trl STE 203, Southern Shores, NC 27949-3745
Phone
(252) 305-0285

Authorised official

Name
Barbara Lee Goulet
Title
Medical Massage Practitioner
Phone
(252) 305-0285

Registered specialties (3)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 14500 (NC)
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence 14500 (NC)
Physical Therapy Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 14500 (NC)

Registry record

NPI
1144760273
Entity type
Organization
NPI issued
8 Mar 2017
Record last updated
8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.