Individual
LYNDA SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 OUTRIGGER CT, SUMMERVILLE, SC 29485-4152
(843) 532-6145
Mailing address
105 OUTRIGGER CT, SUMMERVILLE, SC 29485-4152
(843) 532-6145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3656
SC
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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