Individual provider · Type 1 NPI

Ivy Jo Staton, LMBT

Massage Therapist · Durham, NC

NPI number 1235409681 Active

Practice location

4206 N Roxboro St Ste 130
Durham, NC 27704-1868

Call (919) 729-5048 Map

Fax (919) 729-5038

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3870 (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 1235409681

Ivy Jo Staton, LMBT's National Provider Identifier is 1235409681, issued on Jan 3, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Durham, NC. The record was last updated on Jan 3, 2012.