Individual provider · Type 1 NPI
Janisha Gore, LMBT
Massage Therapist · Shallotte, NC
NPI number
1952993040
Active
Practice location
5211 Main St Ste 505
Shallotte, NC 28470-3442
Mailing address
2186 Freedom Star Rd
Longwood, NC 28452-9779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18531 (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.
Other massage therapist providers in Shallotte
About NPI 1952993040
Janisha Gore, LMBT's National Provider Identifier is 1952993040, issued on Feb 9, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shallotte, NC. The record was last updated on Feb 9, 2021.