Individual
DAVID FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
318 W GEORGIA RD, SIMPSONVILLE, SC 29681-2402
(864) 962-8080
Mailing address
318 W GEORGIA RD, SIMPSONVILLE, SC 29681-2402
(864) 962-8080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10158
SC
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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