MEDICARE: JAMES SPIVEY JR.

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	10947	NC

General Provider Information

NPI Number	:	1275475337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES SPIVEY JR.

Provider Business Mailing Address
First Line	:	7436 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1663
Country	:	US
Telephone Number	:	919-249-5244
Fax Number	:

Provider Business Practice Location Address
First Line	:	7436 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1663
Country	:	US
Telephone Number	:	919-249-5244
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ JAMES SPIVEY JR. ” Practice Location

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