Keran R Ludwick, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8032 Issued in SC

Practice address

110 Springhall Dr
Ste a
Goose Creek, SC 29445-5335

Phone

(843) 302-8845

Fax

(843) 553-4436

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1033474150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118008",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294238008",
            "telephone_number": "843-266-2520",
            "fax_number": "843-553-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SPRINGHALL DR",
            "address_2": "STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-302-8845",
            "fax_number": "843-553-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "KERAN",
        "middle_name": "R",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Medical Associates (LMA Ancillary Services)
• Lowcountry Pediatrics
• Lowcountry Remedies
• LTD Transport Services LLC
• Carmen A Lucero-Haines, LPC, CAC II
• Mardi Lee Luoma, MA, LPC, LAC
• Kendall Barkley Lusher, OTR/L
• Erica D Lyles, RDH
• Jessica A Lyons, DPT
• Tamara L Lyons

• Massage Therapist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.