Incredible Technology Inc. Dba Laser Healing Therapy

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

INCREDIBLE TECHNOLOGY INC. DBA LASER HEALING THERAPY

Doing business as

Laser Healing Therapy

Practice address

1602 Harbour Dr
Wilmington, NC 28401-7716

Phone

(910) 769-1356

NPI assigned

Jun 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Barry Russell Boyce, LASER THERAPIST

Title

President

Phone

(910) 769-1356

Specialties & licenses 1

Addresses

Other names 1

• Laser Healing Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043730096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-769-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-769-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREDIBLE TECHNOLOGY INC. DBA LASER HEALING THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-769-1356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LASER THERAPIST"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Healing Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Other Technician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Other Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.