Individual
MR. KEVIN MICHAEL DEIGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 444-9355
(843) 294-0019
Mailing address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 444-9355
(843) 294-0019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6146
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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