Healthcare Provider Details

I. General information

NPI: 1962554923
Provider Name (Legal Business Name): THERA-SSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 S MAIN ST STE.2
RUTHERFORDTON NC
28139-2946
US

IV. Provider business mailing address

431 S MAIN ST STE.2
RUTHERFORDTON NC
28139-2946
US

V. Phone/Fax

Practice location:
  • Phone: 828-288-3727
  • Fax: 828-288-6205
Mailing address:
  • Phone: 828-288-3727
  • Fax: 828-288-6205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number310
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number1042
License Number StateNC

VIII. Authorized Official

Name: MS. LAURA E ALLEN
Title or Position: OWNER
Credential: NCTMB, LMBT
Phone: 828-288-3727