BEAU JUDSON WILLSEY LMBT NPI 1689009151

NPI Information

NPI: 1689009151
Provider Name: BEAU JUDSON WILLSEY, LMBT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
211 WB MCLEAN DR
CAPE CARTERET, NC
ZIP 28584
Phone: (910) 915-9433
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Beau Judson Willsey, LMBT is a massage therapist in Cape Carteret, 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. Beau Judson Willsey, LMBT NPI is 1689009151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 WB MCLEAN DR
CAPE CARTERET, NC
ZIP 28584-515
Phone: (910) 915-9433

The enumeration date for this NPI number is 9/3/2013 and was last updated on 11/1/2019.

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		13564	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13564	OTHER	NORTH CAROLINA	NC BOARD OF MASSAGE

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: 5/5/2024

NPI Synchronization or Removal

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