Individual
DONNA M MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
137 CAPITAL ST, GREENWOOD, SC 29649-9105
(864) 229-6200
Mailing address
137 CAPITAL ST, GREENWOOD, SC 29649-9105
(864) 229-6200
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2611
SC
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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