Individual
MISTY MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10071 BROAD RIVER RD, STE B, IRMO, SC 29063-2381
(803) 445-1069
Mailing address
120 THAMES VALLEY CT, IRMO, SC 29063-2407
(803) 269-6622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2005-1799
WV
225700000X
Massage Therapist
Primary
3637
SC
Other
Enumeration date
09/03/2006
Last updated
03/04/2013
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