Individual
KATLIN MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 DUTCH FORK RD, IRMO, SC 29063-8871
(803) 816-2716
Mailing address
416 FOXPORT DR, CHAPIN, SC 29036-7544
(272) 209-2678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13019
SC
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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