Individual provider · NPI-1
Stephanie Dawn Callahan, L.M.B.T.
Massage Therapist · Jacksonville, NC
NPI number1407748338
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1407748338
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Dawn Callahan
- Credential
- L.M.B.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2025
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14554 | NC | Yes |
Practice location
113 N Marine Blvd Ste CJacksonville, NC 28540-6508
Phone 910-750-9916
Mailing address
113 N Marine Blvd Ste CJacksonville, NC 28540-6508
Phone 910-750-9916
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