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NPI Code Detail

MEDICARE: STEPHENIE MIRIAM BRINKLEY

MEDICARE: STEPHENIE MIRIAM BRINKLEY
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
1225700000XMassage Therapist1034NC

General Provider Information

NPI Number : 1124602214
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHENIE MIRIAM BRINKLEY
Provider Business Mailing Address
First Line : 2806 ERIC LN
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5491
Country : US
Telephone Number : 336-214-9465
Fax Number :
Provider Business Practice Location Address
First Line : 2806 ERIC LN
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5491
Country : US
Telephone Number : 336-214-9465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2021
Last Update Date : 05/06/2021

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Directions to “ STEPHENIE MIRIAM BRINKLEY ” Practice Location

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