Individual
MISS KATHERINE BRYCE KOELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1310 PINE LOG RD, SUITE D, AIKEN, SC 29803-7890
(803) 335-2150
Mailing address
1310 PINE LOG RD, SUITE D, AIKEN, SC 29803-7890
(803) 335-2150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4646
SC
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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