Organization
AVALON BODYWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY B HOBGOOD LMBT (OWNER)
(864) 850-3400
Entity
Organization
Contact information
Practice address
122 E 1ST AVE, EASLEY, SC 29640-3037
(864) 850-3400
(864) 850-1088
Mailing address
122 E 1ST AVE, EASLEY, SC 29640-3037
(864) 850-3400
(864) 850-1088
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3360
SC
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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