Individual
KENDRA WIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
875 W FARIS RD, GREENVILLE, SC 29605-4254
(864) 455-4231
Mailing address
109 ODESSA DR, EASLEY, SC 29640-7389
(606) 669-5947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS.8066
SC
Other
Enumeration date
05/17/2014
Last updated
04/02/2015
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