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

TaxonomyCodeLicense
Massage Therapist 225700000X15659 (CO)
Massage Therapist 225700000X135843 (TX)
Massage Therapist Primary 225700000X07961 (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.