MEDICARE: DAVION HARDY

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	22148	NC

General Provider Information

NPI Number	:	1508796517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVION HARDY

Provider Business Mailing Address
First Line	:	17 N PROSPECT DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-6248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 GATEWAY DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2277
Country	:	US
Telephone Number	:	919-550-9355
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ DAVION HARDY ” Practice Location

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