NPI 1306101563

Carlos Fuller, LMBT

Practitioner Reflexologist Charlotte, NC

Practice location

Address: 1406 Beatties Ford Rd, Charlotte, NC 28216-4550
Phone: (704) 492-6784
Mailing address: 2401 Alleghany St, Charlotte, NC 28208-3742

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence LMBT# 11837 (NC)

Other Reflexologist providers in North Carolina →

Registry record

NPI: 1306101563
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 2012

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.