Individual provider · NPI-1

Joshua Eustis

Massage Therapist · Jacksonville, NC

NPI number1932980422
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1932980422
Entity type
Individual (NPI-1)
Name
Joshua Eustis
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2023
Certification date
Oct 9, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist16921NCYes

Practice location

1368 Piney Greed Rd., Suite 4
Jacksonville, NC 28546

Phone 910-378-3208

Mailing address

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

Phone 910-378-3208

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