Individual
MS. BLAKELY R. ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
829 FRONT ST, SUITE H, GEORGETOWN, SC 29440-3563
(843) 543-1113
Mailing address
913 LAKESIDE DR, GEORGETOWN, SC 29440-4325
(843) 543-1113
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6530
SC
Other
Enumeration date
09/07/2009
Last updated
09/07/2009
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