Individual provider · Type 1 NPI

Olena Fosforova, LMBT

Massage Therapist · Charlotte, NC

NPI number 1891222303 Active

Practice location

1100 S Mint St Ste 109
Charlotte, NC 28203-4058

Call (704) 763-9044 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12549 (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 1891222303

Olena Fosforova, LMBT's National Provider Identifier is 1891222303, issued on May 15, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 21, 2022.