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Individual

NORMA A SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CMT, BCTMB

Contact information

Practice address
2 SEA ISLAND DR, BLUFFTON, SC 29910-6138
(843) 815-7352
(843) 815-7352
Mailing address
2 SEA ISLAND DR, BLUFFTON, SC 29910-6138
(843) 815-7352
(843) 815-7352

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019005686
VA
225700000X
Massage Therapist
Primary
4576
SC

Other

Enumeration date
09/09/2015
Last updated
09/09/2015
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