DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CORWIN RANDOLPH SHIRLEY, LMT

Active Sole Proprietor

CORWIN RANDOLPH SHIRLEY, LMT is a Massage Therapist healthcare provider located in LELAND, North Carolina. NPI 1619792991 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LELAND, NC

Registration Details

NPI Number
1619792991
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2024 (1.7241552330302 yrs)
Last Updated
Nov 20, 2024
License
19204 (NC)
Sole Proprietor
Yes

Practice Information

Address
8060 PURCHASE PL NE UNIT 4
LELAND, NC, 284510977
Browse NC providers · Browse ZIP 28451
Phone
9107254325
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in LELAND, NC

Name Credential NPI
MISS KRISTIN TABATHA CAULDWELL NCLMBT, MMP 1437638749
ALICIA ASKEW 1134810393
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.