Individual
MRS. INGRID KOHLS HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
207 W. ANTRIM DRIVE, GREENVILLE, SC 29607
(864) 430-3292
Mailing address
1 BYRD BLVD. APT. 9, GREENVILLE, SC 29605
(864) 430-3292
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5866
SC
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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