Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stephanie Renate Ellis, LMBT7685

Individual provider Massage Therapist · NPI 1043124811

Stephanie Renate Ellis, LMBT7685 is a Massage Therapist in Burgaw, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

111 E Fremont St Rm 1
Burgaw, NC 28425-5244
Phone: (910) 431-3325
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 07685 (NC)

Record details

NPI number1043124811
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT7685
Sole proprietorYes
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026