Individual provider · Type 1 NPI
Gail Fulsom, PTA
Massage Therapist · Fayetteville, NC
NPI number
1497202212
Active
Practice location
2529 Raeford Rd
Fayetteville, NC 28305-5098
Mailing address
7111 San Carlos Ct
Fayetteville, NC 28314-5264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | A5970 (NC) |
| Massage Therapist Primary | 225700000X | 12489 (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.
3 other providers at this address
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About NPI 1497202212
Gail Fulsom, PTA's National Provider Identifier is 1497202212, issued on Sep 9, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 23, 2023.