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Mythic Massage Llc
Pain Clinic/Center in Charlotte, North Carolina
NPI 1093339269

Mythic Massage Llc is a Pain Clinic/Center based in Charlotte, NC and is specialized in Pain. Mythic Massage Llc practices in Charlotte, NC. The NPI Number for Mythic Massage Llc is 1093339269 and holds a License No. (North Carolina).

The current practice location address for Mythic Massage Llc is 5701 Executive Center Dr Ste 350, Charlotte, NC and can be reached out via phone at 704-323-6718.

Location: 5701 Executive Center Dr Ste 350, Charlotte, NC, 28212-8847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093339269
Provider Name
Mythic Massage Llc
Credential
Provider Entity Type
Organization
Address
5701 Executive Center Dr Ste 350, Charlotte, NC, 28212-8847
Phone Number
704-323-6718
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5701 Executive Center Dr Ste 350
City
Charlotte
State
North Carolina
Zip
28212-8847
Phone Number
704-323-6718
Fax Number
person
Provider Business Mailing Address Details
Address
5701 Executive Center Dr Ste 350
City
Charlotte
State
North Carolina
Zip
28212-8847
Phone Number
704-323-6718
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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