Allison Mathis

Individual provider Active NPI Massage Therapist · Wallace, NC

NPI 1558078477 · NPPES record last updated Oct 31, 2022

Key facts

NPI
1558078477
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
19695 (NC)
Practice address
108 Twelve Oak Dr # 4434
Wallace, NC 28466-6204
Phone
(443) 413-8263
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
DME Solutions Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 19695 NC Yes

Addresses

Primary practice location

108 Twelve Oak Dr # 4434
Wallace, NC 28466-6204

Mailing address

108 Twelve Oak Dr # 4434
Wallace, NC 28466-6204
Phone (443) 413-8263

Other providers in Wallace, NC

All providers in Wallace, NC · Massage Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.