Individual provider · Type 1 NPI
Maleta Andrea Bruce, LMBT
Massage Therapist · Charlotte, NC
NPI number
1679302897
Active
Practice location
1200 E Morehead St Ste 20Q
Charlotte, NC 28204-2872
Mailing address
8807 Kirchenbaum Dr
Charlotte, NC 28210-7657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 13583 (SC) |
| Massage Therapist Primary | 225700000X | 21419 (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 1679302897
Maleta Andrea Bruce, LMBT's National Provider Identifier is 1679302897, issued on Jul 27, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 27, 2024.