Individual provider · Type 1 NPI
Dustin J. Donahue, LMBT #4824
Massage Therapist · Southern Pines, NC
NPI number
1104412261
Active
Practice location
630 S Bennett St Ste 2
Southern Pines, NC 28387-5920
Mailing address
125 Wooded Acre Way
Cameron, NC 28326-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4824 (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 1104412261
Dustin J. Donahue, LMBT #4824's National Provider Identifier is 1104412261, issued on Dec 14, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southern Pines, NC. The record was last updated on Dec 14, 2020.