Individual
CYNTHIA KOSTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
162 BLUFFTON RD STE 101, BLUFFTON, SC 29910-6340
(843) 706-3472
Mailing address
14 WINDTREE LN, BLUFFTON, SC 29910-5996
(843) 540-3395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11861
SC
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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