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

Individual provider Massage Therapist · NPI 1730878687

Candida Devivo, LMBT is a Massage Therapist in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

853 Durham Rd Ste H
Wake Forest, NC 27587-8793
Phone: (919) 556-1092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 14886 (NC)

Record details

NPI number1730878687
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT
Sole proprietorYes
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 3, 2023
Mailing address50 Stonecrest Dr, Louisburg, NC 27549-6471

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