Individual provider · Type 1 NPI

Charles Vance Phillips Iv, LMT

Massage Therapist · Chattanooga, TN

NPI number 1841703147 Active

About NPI 1841703147

Charles Vance Phillips Iv, LMT's National Provider Identifier is 1841703147, issued on Nov 8, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chattanooga, TN. The record was last updated on Nov 8, 2017.