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NPI Code Detail

MEDICARE: TONI B RALEY

MEDICARE: TONI B RALEY
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 Therapist

General Provider Information

NPI Number : 1790464105
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI B RALEY
Provider Business Mailing Address
First Line : 2000 RAM RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-9702
Country : US
Telephone Number : 704-928-8218
Fax Number :
Provider Business Practice Location Address
First Line : 4113 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1889
Country : US
Telephone Number : 336-361-1790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2023
Last Update Date : 07/13/2023

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Directions to “ TONI B RALEY ” Practice Location

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