Felicia Clemens, LMT

Individual provider Active NPI Massage Therapist · Little River, SC

NPI 1225758030 · NPPES record last updated Aug 31, 2022

Key facts

NPI
1225758030
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
12534 (SC)
Practice address
1087 Redi Mix Rd
Little River, SC 29566-7132
Phone
(848) 435-9158
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12534SCMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12534 SC Yes

Addresses

Primary practice location

1087 Redi Mix Rd
Little River, SC 29566-7132

Mailing address

4220 Red Bluff Rd
Loris, SC 29569-9212
Phone (843) 591-5881

Other providers in Little River, SC

All providers in Little River, SC · Massage Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.