Individual
MICHELLE D ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
937 FRIARSGATE BLVD, IRMO, SC 29063-2775
(803) 220-7805
Mailing address
937 FRIARSGATE BLVD, IRMO, SC 29063-2775
(803) 220-7805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-1780890
NA
SC
Enumeration date
01/30/2023
Last updated
01/30/2023
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