Individual
MICHELLE HUSKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 STONE CREEK RD, GREER, SC 29650-3322
(864) 354-4621
Mailing address
105 STONE CREEK RD, GREER, SC 29650-3322
(864) 354-4621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2074
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0990
—
SC
Enumeration date
06/01/2011
Last updated
06/07/2011
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