Healthcare Provider Details

I. General information

NPI: 1437015427
Provider Name (Legal Business Name): LILLY ANNA HESSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5638 VETERANS PKWY STE 204
GARNER NC
27529-7998
US

IV. Provider business mailing address

424 E ROSE ST
SMITHFIELD NC
27577-4434
US

V. Phone/Fax

Practice location:
  • Phone: 919-772-7996
  • Fax:
Mailing address:
  • Phone: 919-605-8835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number20685
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: