Individual
LUCY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1001 PHYSICIANS DR, CHARLESTON, SC 29414-5746
(843) 571-1020
(843) 573-0788
Mailing address
1001 PHYSICIANS DR, CHARLESTON, SC 29414-5746
(843) 571-1020
(843) 573-0788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3466
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700848959
CHIROPRACTIC
SC
Enumeration date
07/25/2017
Last updated
07/25/2017
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