MEDICARE: HOSTLER HOLISTICS LLC

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

General Provider Information

NPI Number	:	1417885880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSTLER HOLISTICS LLC

Provider Business Mailing Address
First Line	:	PO BOX 12282
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27709-2282
Country	:	US
Telephone Number	:	910-964-8190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 CARPENTER FLETCHER RD STE 402
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2271
Country	:	US
Telephone Number	:	910-964-8190
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPIST
Name	:	TERESA HOSTLER
Credential	:	LMBT
Telephone Number	:	910-964-8190

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “HOSTLER HOLISTICS LLC ” Practice Location

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