Provider Demographics
NPI:1700130796
Name:NAYOR, PATSEY MARIE (LMBT)
Entity Type:Individual
Prefix:MRS
First Name:PATSEY
Middle Name:MARIE
Last Name:NAYOR
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 1:535 EDINBORO DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-7418
Mailing Address - Country:US
Mailing Address - Phone:910-944-7050
Mailing Address - Fax:910-944-7050
Practice Address - Street 1:165 TURNBERRY WAY
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8509
Practice Address - Country:US
Practice Address - Phone:910-725-1708
Practice Address - Fax:910-725-1718
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC657225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist