Individual provider · Type 1 NPI

Lydia Kravitz, LMBT

Massage Therapist · Fayetteville, NC

NPI number 1104297365 Active

Practice location

5843 Ramsey St, Suite J
Fayetteville, NC 28311-3467

Mailing address

28 Wild Iris Ct
Columbia, SC 29209-5734

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X5590 (NC)
Massage Therapist Primary 225700000X12751 (SC)

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 1104297365

Lydia Kravitz, LMBT's National Provider Identifier is 1104297365, issued on Oct 14, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 27, 2023.