Individual
MS. SUSAN K FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMT, NCTMB
Contact information
Practice address
526 NORTH AVE, ROCK HILL, SC 29732-3029
(803) 322-8770
Mailing address
PO BOX 446, YORK, SC 29745-0446
(803) 322-8770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4243
SC
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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