NPI 1437587102

Richard Cleveland, MASSAGETHERAPIST

Practitioner Massage Therapist Dalzell, SC

Practice location

Address: 5165 Longbranch Dr, Dalzell, SC 29040-8909
Phone: (803) 316-4616

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8257 (SC)

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Registry record

NPI: 1437587102
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2013
Record last updated: 16 Oct 2013

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.