Individual provider · NPI-1

Amanda Cervantes, LMBT

Massage Therapist · Jacksonville, NC

NPI number1740096320
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1740096320
Entity type
Individual (NPI-1)
Name
Amanda Cervantes
Credential
LMBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2024
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist22058NCYes

Practice location

410 New Bridge St
Jacksonville, NC 28540

Phone 910-779-6771

Mailing address

410 New Bridge St
Jacksonville, NC 28540-4739

Phone 910-779-6771

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