Individual
TRUDIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
232 SKYLAND DR, COLUMBIA, SC 29210-8224
(803) 771-4911
Mailing address
232 SKYLAND DR, COLUMBIA, SC 29210-8224
(803) 771-4911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1242
SC
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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