Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angillo Mentor, LICENSEDTHERAPIST

Individual provider Massage Therapist · NPI 1801616115

Angillo Mentor, LICENSEDTHERAPIST is a Massage Therapist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

900 E Six Forks Rd Unit 160
Raleigh, NC 27604-1819
Phone: (516) 445-6921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 21756 (NC)

Record details

NPI number1801616115
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDTHERAPIST
Sole proprietorYes
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Other providers in Raleigh