Individual
KAYLA MYKEYYA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
112 N WOODLAND DR STE B, LANCASTER, SC 29720-4787
(803) 285-2742
Mailing address
2209 GREEN PEACH RD, LANCASTER, SC 29720-9175
(803) 285-2742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5416
SC
Other
Enumeration date
01/16/2008
Last updated
06/21/2008
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