Individual
LYDIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 RICHLAND ST, COLUMBIA, SC 29201-2609
(803) 216-5297
Mailing address
1048 RICHARD SIMONS RD, EASTOVER, SC 29044-9759
(803) 553-3388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13471
SC
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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