Individual
TERRI L CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
172 WACCAMAW MEDICAL PARK COURT, CONWAY, SC 29526
(843) 465-4852
Mailing address
1440 WINBURN RD, CONWAY, SC 29527-7509
(843) 465-4852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2902
SC
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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