Individual provider · Type 1 NPI
Chance Gauge Ryan, LMBT
Massage Therapist · Charlotte, NC
NPI number
1801674361
Active
Practice location
9905 Sandy Rock Pl Ste B&d
Charlotte, NC 28277-7734
Mailing address
5811 Market Way Dr Apt 3104
Charlotte, NC 28277-4936
Other practice locations
- 5811 Market Way Dr Apt 3104, Charlotte, NC 28277-4936 · (970) 734-3094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 15659 (CO) |
| Massage Therapist | 225700000X | 135843 (TX) |
| Massage Therapist Primary | 225700000X | 07961 (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 1801674361
Chance Gauge Ryan, LMBT's National Provider Identifier is 1801674361, issued on Sep 18, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 18, 2023.