Individual provider · Type 1 NPI

Revenda Ja-Mell Morgan, LMBT

Massage Therapist · Winston Salem, NC

NPI number 1073284121 Active

Practice location

1350 Pleasant St
Winston Salem, NC 27107-1433

Call (336) 251-4848 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X08881 (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 1073284121

Revenda Ja-Mell Morgan, LMBT's National Provider Identifier is 1073284121, issued on Sep 27, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 27, 2021.