Provider Demographics
NPI:1831940667
Name:BONDS, LAURA CHERELL (LMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CHERELL
Last Name:BONDS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 MURRELL RD STE K
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2160
Mailing Address - Country:US
Mailing Address - Phone:434-849-2653
Mailing Address - Fax:
Practice Address - Street 1:2250 MURRELL RD STE K
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2160
Practice Address - Country:US
Practice Address - Phone:434-849-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019014376163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)