Individual
RODNEY WEBB CROUCH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1400 LAUREL ST, SUITE B, COLUMBIA, SC 29201-2500
(803) 240-8084
Mailing address
1400 LAUREL ST, SUITE B, COLUMBIA, SC 29201-2500
(803) 240-8084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6315
SC
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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