Jacqueline Coleman, MASSAGE THERAPY
Individual provider Active NPI Massage Therapist · Batesburg, SC
NPI 1356583249 · NPPES record last updated Mar 24, 2009
Key facts
- NPI
- 1356583249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 5600 (SC)
- Practice address
- 129 Holder Rd
Batesburg, SC 29006-9425 - Phone
- (803) 609-5095
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5600 | SC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5600 | SC | Yes |
Addresses
Primary practice location
129 Holder Rd
Batesburg, SC 29006-9425
Mailing address
129 Holder Rd
Batesburg, SC 29006-9425
Phone (803) 609-5095
Other providers in Batesburg, SC
- Gloria J. Burgess
- Caring Hands Senior Transport
- Carolina Cataract Clinic
- Audrey Childers
- Adam Wade Chittam
- CVS
- Chad Dancy
- Eau Claire Cooperative Health Center, Inc.
- Ayanna Akeya Kimbrel Etheredge
- Jennifer Fulmer
All providers in Batesburg, SC · Massage Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.