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General NPI Number Information
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NPI Number | 1407716640
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Entity Type | Organization
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Legal Business Name | INNER SOL MASSAGE THERAPY LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 890 S KERR AVE STE 210
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City | WILMINGTON
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State | NC
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Zip | 28403-2562
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Country | US
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Telephone | 910-915-7547
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Fax |
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Provider Business Mailing Address
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Address Line | 202 LEWIS DR
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City | CAROLINA BEACH
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State | NC
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Zip | 28428-3956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMBT/OWNER
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Name | AIMEE CASTRO
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Credential |
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Telephone | 910-915-7547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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