Individual
RICHARD CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
5165 LONGBRANCH DR, DALZELL, SC 29040-8909
(803) 316-4616
Mailing address
5165 LONGBRANCH DR, DALZELL, SC 29040-8909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8257
SC
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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