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Individual

ELISA RANDI STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
403 E MAIN ST STE F, LEXINGTON, SC 29072-3603
(443) 221-9782
Mailing address
19 LANDMARK DR APT 39B, COLUMBIA, SC 29210-4544
(443) 221-9782

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13317
SC

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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