Individual
LEIAH ROXANN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 WAPPOO CREEK DR STE 2, CHARLESTON, SC 29412-2136
(843) 301-1345
Mailing address
109 MOORING BUOY, HILTON HEAD ISLAND, SC 29928-5223
(843) 301-1345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11856
SC
Other
Enumeration date
11/04/2019
Last updated
05/24/2021
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