Organization
FIT FOR A KING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANIKA TABIA TODD (OWNER)
(864) 688-2430
Entity
Organization
Contact information
Practice address
413B SE MAIN ST, SIMPSONVILLE, SC 29681-2651
(864) 688-2430
Mailing address
413B SE MAIN ST, SIMPSONVILLE, SC 29681-2651
(864) 688-2430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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