Provider Demographics
NPI:1558059089
Name:VALOR MASSAGE
Entity Type:Organization
Organization Name:VALOR MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:FOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-269-6235
Mailing Address - Street 1:231 STELLA WAY
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-5405
Mailing Address - Country:US
Mailing Address - Phone:828-269-6235
Mailing Address - Fax:
Practice Address - Street 1:230 LINDSAY RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6725
Practice Address - Country:US
Practice Address - Phone:910-514-6251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1619634995OtherNPPES