MS. GAIL FULSOM PTA - NPI 1497202212 - Massage Therapist in Fayetteville, NC

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Ms. Gail Fulsom Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GAIL FULSOM PTA (NPI 1497202212) is an individual massage therapist in Fayetteville, North Carolina, licensed in North Carolina (12489) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497202212

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. GAIL FULSOMCredential: PTA

Location Address2529 RAEFORD RDFayetteville, NC 28305-5098

Mailing Address7111 San Carlos CtFayetteville, NC 28314-5264 · (757) 270-4785

Phone(757) 270-4785

Sole ProprietorNo

Enumeration DateSeptember 9, 2016

Last NPPES UpdateMarch 23, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1497202212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NC · 12489

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License A5970 (NC)

2529 RAEFORD RD, Fayetteville, NC 28305

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