Marvin Chambers, LMBT

Individual provider Active NPI Massage Therapist · Carrboro, NC

NPI 1750115416 · NPPES record last updated Aug 27, 2024

Key facts

NPI
1750115416
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
14449 (NC)
Practice address
200 N Greensboro St Ste C9
Carrboro, NC 27510-1849
Phone
(919) 869-6118
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
227009575ILMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225700000X 227009575 IL
Massage Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225700000X 14449 NC Yes

Addresses

Primary practice location

200 N Greensboro St Ste C9
Carrboro, NC 27510-1849

Mailing address

200 N Greensboro St Ste C9
Carrboro, NC 27510-1849
Phone (919) 869-6118

Other providers in Carrboro, NC

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

Sources for this page

Verify at the official NPI Registry.