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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 10155 (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.