Revitalized, Llc | |
4421 Quail Ridge Dr, Mint Hill, NC 28227-8236 | |
(704) 800-4980 | |
Not Available |
Full Name | Revitalized, Llc |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 4421 Quail Ridge Dr, Mint Hill, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962149237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Revitalized, Llc 4421 Quail Ridge Dr, Mint Hill, NC 28227-8236 Ph: (704) 800-4980 | Revitalized, Llc 4421 Quail Ridge Dr, Mint Hill, NC 28227-8236 Ph: (704) 800-4980 |
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Randall Scott Walker, LMBT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4732 Lebanon Rd Ste D, Mint Hill, NC 28227 Phone: 704-763-2059 | |
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