Individual
MRS. LORI M SMELTZER-WIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 HARRY BYRD HWY, DARLINGTON, SC 29532-3509
(843) 393-1107
Mailing address
414 EASTBURN CT, DARLINGTON, SC 29532-2716
(843) 319-6855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10207
SC
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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