Individual
MRS. BETHANY KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
146 BACK TEE CIR, SUMMERVILLE, SC 29485-6276
(843) 518-0692
Mailing address
200 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6512
(843) 518-0692
(843) 695-8517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10083
SC
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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