Individual
SHANNON LIVEZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1533 RICHLAND ST, COLUMBIA, SC 29201-2609
(803) 216-1130
Mailing address
1533 RICHLAND ST, COLUMBIA, SC 29201-2609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12326
SC
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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