Individual
JAELYN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 DANIELLE WAY, FORT MILL, SC 29715-7090
(803) 579-1318
Mailing address
412 DANIELLE WAY, FORT MILL, SC 29715-7090
(803) 579-1318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13377
SC
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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