Individual provider · Type 1 NPI

Coleen Gordon

Massage Therapist · Charlotte, NC

NPI number 1871997981 Active

Practice location

10210 Prosperity Park Dr
Charlotte, NC 28269-5612

Call (704) 701-7456 Map

Mailing address

PO Box 42964
Charlotte, NC 28215-0037

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2660 (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 1871997981

Coleen Gordon's National Provider Identifier is 1871997981, issued on Oct 17, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 17, 2014.