MEDICARE: MEGHAN EDENFIELD DAVIS LMBT

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	23098	NC

General Provider Information

NPI Number	:	1225997067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN EDENFIELD DAVIS LMBT

Provider Business Mailing Address
First Line	:	4140 FERNCREEK DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2563
Country	:	US
Telephone Number	:	828-269-6235
Fax Number	:

Provider Business Practice Location Address
First Line	:	4140 FERNCREEK DR STE 702
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2569
Country	:	US
Telephone Number	:	828-269-6235
Fax Number	:	828-269-6235

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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