Larry Allen Ball, LMBT
Massage Therapist in Greensboro, NC. Individual provider (NPI-1).
NPI number1740894724
StatusActive
Last updated in NPPESSep 7, 2020
Details
- NPI
- 1740894724
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry Allen Ball
- Credential
- LMBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2020
- Certification date
- Sep 7, 2020
- Last updated
- Sep 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 15990 | NC | Yes |
Practice location
123 S Walnut CirGreensboro, NC 27409-2624
Phone 336-285-6873
Mailing address
123 S Walnut CirGreensboro, NC 27409-2624
Phone 336-285-6873
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