Individual provider · Type 1 NPI

Corwin Randolph Shirley, LMT

Massage Therapist · Leland, NC

NPI number 1619792991 Active

Practice location

8060 Purchase Pl NE Unit 4
Leland, NC 28451-0977

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19204 (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 1619792991

Corwin Randolph Shirley, LMT's National Provider Identifier is 1619792991, issued on Nov 20, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Leland, NC. The record was last updated on Nov 20, 2024.