Organization
TRADE STREET MASSAGE LLC
Active
Other names
Trade Street Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RUGGIERO NCTMB, LMT (OWNER)
(864) 275-0229
Entity
Organization
Contact information
Practice address
210 W STONE AVE, LR3, GREENVILLE, SC 29609-5452
(864) 275-0229
(877) 608-5094
Mailing address
210 W STONE AVE, LR3, GREENVILLE, SC 29609-5452
(864) 275-0229
(877) 608-5094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5857
SC
261QP3300X
Pain Clinic/Center
5857
SC
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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