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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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