NPI 1104429711

Valerie Kershaw, LMT

Practitioner Massage Therapist Columbia, SC

Practice location

Address: 3509 Lake Ave APT 2194, Columbia, SC 29206-5603
Phone: (803) 316-1012

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 10590 (SC)

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Registry record

NPI: 1104429711
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 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.