Individual
FELICIA CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1087 REDI MIX RD, LITTLE RIVER, SC 29566-7132
(848) 435-9158
Mailing address
4220 RED BLUFF RD, LORIS, SC 29569-9212
(843) 591-5881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12534
SC
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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