Healthcare Provider Details

I. General information

NPI: 1689538506
Provider Name (Legal Business Name): ALANA EISNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4259 BERRY PL
VALDESE NC
28690-9323
US

IV. Provider business mailing address

4259 BERRY PL
VALDESE NC
28690-9323
US

V. Phone/Fax

Practice location:
  • Phone: 828-475-2682
  • Fax:
Mailing address:
  • Phone: 404-509-2609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number23011
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: