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Contact Information

CONNIE W WELLS, ATC, LAT, LMBT
599 GARNER CHAPEL RD
MOUNT OLIVE, NC28365-6146
 Phone: 919-658-0476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Athletic Trainer

2255A2300X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for CONNIE W WELLS · (Female)

NPI # 1639101496
Status Active
Credentials ATC, LAT, LMBT
Entity Individual
Enumeration date 07/06/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0580
  • NC License # 724
  • NC License # CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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