Healthcare Provider Details
I. General information
NPI: 1174434971
Provider Name (Legal Business Name): VALOR HEALING AND MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 W MILLBROOK RD
RALEIGH NC
27609-4304
US
IV. Provider business mailing address
280 W MILLBROOK RD
RALEIGH NC
27609-4304
US
V. Phone/Fax
- Phone: 919-219-7490
- Fax:
- Phone: 919-219-7490
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
DIANNE
WATTS
Title or Position: OWNER
Credential: LMBT
Phone: 919-219-7490