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Individual

TRACY L TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
181 TODDS CREEK RD, CENTRAL, SC 29630-9441
(864) 508-0618
Mailing address
181 TODDS CREEK RD, CENTRAL, SC 29630-9441
(864) 508-0618

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3912
SC

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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