Individual provider · Type 1 NPI

Aqilah Rivens Bullen

Massage Therapist · Charlotte, NC

NPI number 1033070412 Active

Practice location

5840 E Wt Harris Blvd, Ste 109 Pmb 1074
Charlotte, NC 28215

Call (646) 739-6249 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22791 (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.

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About NPI 1033070412

Aqilah Rivens Bullen's National Provider Identifier is 1033070412, issued on Nov 24, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 24, 2025.