NPI 1013536432

Wanda Ruby Godley, LMT

Practitioner Massage Therapist Ladys Island, SC

Practice location

Address: 73 Sea Island Pkwy STE 16, Ladys Island, SC 29907-1460
Phone: (843) 812-4758

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3078 (SC)

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Registry record

NPI: 1013536432
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2020
Record last updated: 15 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.