NPI 1013430339

Tara Denise Lone, LMBT

Practitioner Massage Therapist Kernersville, NC

Practice location

Address: 1185 S Park Dr STE a, Kernersville, NC 27284-3114
Phone: (336) 448-3890

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 12795 (NC)

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Registry record

NPI: 1013430339
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2017
Record last updated: 18 Jul 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.