Individual
TAMARA SHERRILL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB, MMP
Contact information
Practice address
1212 HARRY BYRD HWY, DARLINGTON, SC 29532-3509
(843) 393-1107
(843) 393-1107
Mailing address
1212 HARRY BYRD HWY, DARLINGTON, SC 29532-3509
(843) 393-1107
(843) 393-1107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
SC MAS 1763
SC
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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