Healthcare Provider Details

I. General information

NPI: 1801728332
Provider Name (Legal Business Name): JULIE AYONA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1428 AVERSBORO RD STE E
GARNER NC
27529-4587
US

IV. Provider business mailing address

5016 LEE DR
GARNER NC
27529-9666
US

V. Phone/Fax

Practice location:
  • Phone: 919-324-7137
  • Fax:
Mailing address:
  • Phone: 919-816-6265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number17178
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: