Individual provider · Type 1 NPI

Danielle Lee Kvidera Mendez, LMP, MMP

Massage Therapist · Lillington, NC

NPI number 1649503145 Active

Practice location

642 Kentucky Derby Ln
Lillington, NC 27546-9742

Mailing address

5843 Ramsey St
Fayetteville, NC 28311-3467

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14605 (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 1649503145

Danielle Lee Kvidera Mendez, LMP, MMP's National Provider Identifier is 1649503145, issued on Sep 15, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lillington, NC. The record was last updated on Feb 17, 2019.