Organization
THE WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWN TAYLOR MOORE LMT, MMP, RYT-200 (OWNER/OPERATOR)
(803) 816-2716
Entity
Organization
Contact information
Practice address
1720 DUTCH FORK RD., IRMO, SC 29063
(806) 816-2716
Mailing address
PO BOX 253, BALLENTINE, SC 29002-0253
(803) 816-2716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
07/14/2019
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