Individual provider · Type 1 NPI

William Brooks Fulp Jr., LMBT, MMP

Massage Therapist · Walkertown, NC

NPI number 1609142488 Active

Practice location

3063 Walkertown View Dr
Walkertown, NC 27051-9815

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10155 (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.

About NPI 1609142488

William Brooks Fulp Jr., LMBT, MMP's National Provider Identifier is 1609142488, issued on Mar 27, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Walkertown, NC. The record was last updated on Mar 27, 2012.