NPI 1508523457

Mark Anthony Stewart, LMBT

Practitioner Massage Therapist Kernersville, NC

Practice location

Address: 320 Hastings Hill Rd, Kernersville, NC 27284-6802
Phone: (336) 509-0668

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 19726 (NC)

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Registry record

NPI: 1508523457
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2021
Record last updated: 25 Nov 2021

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.