NPI 1033667837

Tabitha Renee Boan, LMT

Practitioner Massage Therapist Dalzell, SC

Practice location

Address: 3150 Bush Ln, Dalzell, SC 29040-9724
Phone: (540) 589-4248

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8291 (SC)

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Registry record

NPI: 1033667837
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2016
Record last updated: 21 Sep 2016

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.