Individual
LETRESE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1009 HEIDT ST, COLUMBIA, SC 29205-1019
(803) 504-0781
Mailing address
1009 HEIDT ST, COLUMBIA, SC 29205-1019
(803) 504-0781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13423
SC
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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