Individual
MRS. KRISTIE DIANNA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
218 BURR OAK LN, PIEDMONT, SC 29673-7356
(864) 871-3494
Mailing address
218 BURR OAK LN, PIEDMONT, SC 29673-7356
(864) 871-3494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12962
SC
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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