Individual
KERAN R LUDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
110 SPRINGHALL DR, STE A, GOOSE CREEK, SC 29445-5335
(843) 302-8845
(843) 553-4436
Mailing address
PO BOX 118008, NORTH CHARLESTON, SC 29423-8008
(843) 266-2520
(843) 553-4436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8032
SC
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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