MEDICARE: ANDREA FLOWERS LMBT,MMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	18916	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000000	OTHER	NC	N/A

General Provider Information

NPI Number	:	1093389389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA FLOWERS LMBT,MMP

Provider Business Mailing Address
First Line	:	108 HAY ST STE 221
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5686
Country	:	US
Telephone Number	:	910-286-2603
Fax Number	:	910-565-6014

Provider Business Practice Location Address
First Line	:	108 HAY ST STE 221
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5686
Country	:	US
Telephone Number	:	910-421-8623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	01/06/2026

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