Individual
HANNAH KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
216 MAYFIELD DR, GOOSE CREEK, SC 29445-7319
(843) 693-6980
Mailing address
216 MAYFIELD DR, GOOSE CREEK, SC 29445-7319
(843) 693-6980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10596
SC
225700000X
Massage Therapist
20851
NC
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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