Individual provider · Type 1 NPI
Jacqueline Lee Herring Waldrop, NC LMBT
Massage Therapist · Jacksonville, NC
NPI number
1679449490
Active
Practice location
824 Gum Branch Rd Ste T
Jacksonville, NC 28540-6269
Mailing address
3440 Cobb Rd
Kinston, NC 28501-6877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 12993 (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 1679449490
Jacqueline Lee Herring Waldrop, NC LMBT's National Provider Identifier is 1679449490, issued on Oct 17, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, NC. The record was last updated on Oct 24, 2025.