Organization
ADVANCE THERAPEUTIC MASSAGE
Active
Other names
Fowler Karate Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI DIANE FOWLER NCTMB, LMT (PRESIDENT)
(864) 653-4177
Entity
Organization
Contact information
Practice address
402 PENDLETON RD, SUITE 4, CLEMSON, SC 29631-2242
(864) 653-4177
Mailing address
402 PENDLETON RD, SUITE 4, CLEMSON, SC 29631
(864) 653-4177
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4650
SC
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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