Individual provider · NPI-1

Elizabeth Eustis, LMBT, RYT 200,

Massage Therapist · Jacksonville, NC

NPI number1669253134
StatusActive
Last updated in NPPESOct 11, 2023

Details

NPI
1669253134
Entity type
Individual (NPI-1)
Name
Elizabeth Eustis
Credential
LMBT, RYT 200,
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 11, 2023
Certification date
Oct 11, 2023
Last updated
Oct 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist16824NCYes

Practice location

1368 Piney Green Rd Ste 4
Jacksonville, NC 28546-4577

Phone 910-378-3208

Mailing address

1368 Piney Green Rd Ste 4
Jacksonville, NC 28546-4577

Phone 910-378-3208

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