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

Bonita Head, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1861007460

Bonita Head, MASSAGETHERAPIST is a Massage Therapist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

7916 Mandrel Way
Raleigh, NC 27616-9503
Phone: (919) 522-5882
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 04956 (NC)

Record details

NPI number1861007460
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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