Healthcare Provider Details

I. General information

NPI: 1649150616
Provider Name (Legal Business Name): LILLIE BONSTEEL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 HIGHLANDS RD
FRANKLIN NC
28734-6294
US

IV. Provider business mailing address

668 LYLE KNOB RD
FRANKLIN NC
28734-2156
US

V. Phone/Fax

Practice location:
  • Phone: 828-634-1289
  • Fax:
Mailing address:
  • Phone: 828-634-1289
  • Fax: 828-634-1289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11119
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: