Individual provider · Type 1 NPI

Maya Alfridra Gilliam, NC#11053

Massage Therapist · Winston Salem, NC

NPI number 1578827382 Active

Practice location

707 N Main St
Winston Salem, NC 27101-3028

Call (336) 793-2991 Map

Fax (866) 440-0711

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11053 (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 1578827382

Maya Alfridra Gilliam, NC#11053's National Provider Identifier is 1578827382, issued on Jun 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 26, 2012.