Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 6448 | NC |
NPI | 1013034974 |
---|---|
Provider Name | Mr. Jay R Mee |
First Address | Rutherfordton, NC 28139 |
Second Address | Rutherfordton, NC 28139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2007 |
Last Update Date | 20/04/2009 |