Individual
KATELYNNE SIERRA AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2121 SHADOW FERRY DR, CHARLESTON, SC 29414-6651
(843) 412-2061
Mailing address
2121 SHADOW FERRY DR, CHARLESTON, SC 29414-6651
(843) 412-2061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9837
SC
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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