NPI 1487402699
Clinic/Center - Health Service in Fayetteville, NC
Active since May 11, 2024
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1487402699
Entity TypeOrganization
Primary Taxonomy261QH0100X
Location Address4140 FERNCREEK DR STE 702Fayetteville, NC 28314-2569
Mailing Address4140 Ferncreek Dr Ste 702Fayetteville, NC 28314-2569 · (910) 514-6251
Phone(910) 514-6251
Organization SubpartNo
Authorized OfficialBrittany FotiCeo And Founder · (828) 269-6235
Enumeration DateMay 11, 2024
NPPES CertifiedApril 24, 2023
✔ NPI 1487402699 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4140 FERNCREEK DR STE 702, Fayetteville, NC 28314
Other Names 1
Former Legal Business NameValor Massage
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
