Individual
MICHELL D SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 CENTRAL AVE UNIT F, SUMMERVILLE, SC 29483-3743
(843) 452-5560
(843) 771-4179
Mailing address
820 CENTRAL AVE UNIT F, SUMMERVILLE, SC 29483-3743
(843) 452-5560
(843) 771-4179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4973
SC
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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