Organization
LOW COUNTRY MASSAGE & WELLNESS, LLC
Active
Other names
Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLAKELY RENEE ALTMAN LMT (OWNER)
(901) 896-6024
Entity
Organization
Contact information
Practice address
829 FRONT ST, SUITE H, GEORGETOWN, SC 29440-3563
(901) 896-6024
Mailing address
913 LAKESIDE DR, GEORGETOWN, SC 29440-4325
(901) 896-6024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6530
SC
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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