Organization
RESTORATIVE BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN FLANAGAN LMT (GENERAL PARTNER)
(843) 425-3432
Entity
Organization
Contact information
Practice address
1625 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8626
(803) 403-2056
Mailing address
1625 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8626
(803) 403-2056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6932
SC
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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