Individual provider · Type 1 NPI
Ica Draughn Eldridge, NC LMBT# 12464
Massage Therapist · Mount Airy, NC
NPI number
1023508579
Active
Practice location
492 N Main St
Mount Airy, NC 27030-3814
Fax (336) 648-8084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 12464 (NC) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Mount Airy
About NPI 1023508579
Ica Draughn Eldridge, NC LMBT# 12464's National Provider Identifier is 1023508579, issued on May 10, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Airy, NC. The record was last updated on May 10, 2018.