Individual provider · Type 1 NPI

Jonathan P. Godwin, LMBT

Massage Therapist · Raleigh, NC

NPI number 1366041766 Active

Practice location

4104 Cross Creek Ct Apt D
Raleigh, NC 27607-6549

Call (252) 399-9809 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13580 (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 1366041766

Jonathan P. Godwin, LMBT's National Provider Identifier is 1366041766, issued on Oct 19, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 19, 2020.