MS. MAYA ALFRIDRA GILLIAM NC#11053 NPI 1578827382

NPI Information

NPI: 1578827382
Provider Name: MS. MAYA ALFRIDRA GILLIAM, NC#11053
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
707 N MAIN ST
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 793-2991
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MS. Maya Alfridra Gilliam, NC#11053 is a massage therapist in Winston Salem, NC. The provider is 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. MS. Maya Alfridra Gilliam, NC#11053 NPI is 1578827382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 N MAIN ST
WINSTON SALEM, NC
ZIP 27101-028
Phone: (336) 793-2991
Fax: (866) 440-0711

The enumeration date for this NPI number is 6/26/2012 and was last updated on 6/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		11053	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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