Organization
STILL WATERS THERAPEUTIC MASSAGE & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY RICHBURG LMT (MASSAGE THERAPIST)
(864) 506-2381
Entity
Organization
Contact information
Practice address
452 NORTH MAIN ST., SIX MILE, SC 29680
(864) 506-2381
Mailing address
452 NORTH MAIN ST., PO BOX 508, SIX MILE, SC 29680
(864) 506-2381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
3912
SC
225700000X
Massage Therapist
Primary
5737
SC
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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