Provider Demographics
NPI:1184089674
Name:ARNOLD, SALLY RASPBERRY
Entity type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:RASPBERRY
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:RASPBERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:7980 CHAPEL HILL RD STE 125
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4650
Mailing Address - Country:US
Mailing Address - Phone:919-854-9555
Mailing Address - Fax:
Practice Address - Street 1:7980 CHAPEL HILL RD STE 125
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-4650
Practice Address - Country:US
Practice Address - Phone:919-703-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2221202D00000X
NC2550225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine