Organization
TWISTED OAK MEDICAL MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ROBERTS LMT (OWNER)
(843) 855-2322
Entity
Organization
Contact information
Practice address
1311 13TH AVE UNIT F, CONWAY, SC 29526-3668
(843) 855-2322
Mailing address
202 CEDAR LN, CONWAY, SC 29527-6031
(843) 855-2322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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