Provider Demographics
NPI:1437375292
Name:BELVET, WOLITA (LMBT)
Entity Type:Individual
Prefix:
First Name:WOLITA
Middle Name:
Last Name:BELVET
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6133 LOCH LAURAL LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3007
Mailing Address - Country:US
Mailing Address - Phone:919-783-6225
Mailing Address - Fax:
Practice Address - Street 1:6133 LOCH LAURAL LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3007
Practice Address - Country:US
Practice Address - Phone:919-783-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC782225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist