Individual provider · Type 1 NPI
Gina Booth, LMBT, MMT
Massage Therapist · Manteo, NC
NPI number
1619372273
Active
Practice location
711 N Hwy 64
Manteo, NC 27954
Mailing address
129 Dolphin Dr
Manteo, NC 27954-9102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11661 (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 1619372273
Gina Booth, LMBT, MMT's National Provider Identifier is 1619372273, issued on Oct 24, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Manteo, NC. The record was last updated on Oct 24, 2014.