Individual
AMY WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
605 POPLAR GROVE PL, SUMMERVILLE, SC 29483-1681
Mailing address
605 POPLAR GROVE PL, SUMMERVILLE, SC 29483-1681
(843) 998-9822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8660
SC
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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