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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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