Organization
SODA CITY THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE J LYONS JR. LMT (EMPLOYEE)
(719) 205-6605
Entity
Organization
Contact information
Practice address
300 BERKSHIRE DR STE C, COLUMBIA, SC 29223-1859
(803) 906-0301
Mailing address
120 BENT OAK TRL, BLYTHEWOOD, SC 29016-8380
(719) 205-6605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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