Provider Demographics
NPI:1245564921
Name:RASPINO, JULIE DARLENA (LMBT NC#5121)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DARLENA
Last Name:RASPINO
Suffix:
Gender:F
Credentials:LMBT NC#5121
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 HAY ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5423
Mailing Address - Country:US
Mailing Address - Phone:910-476-3873
Mailing Address - Fax:
Practice Address - Street 1:713 HAY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5423
Practice Address - Country:US
Practice Address - Phone:910-476-3873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5121225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist