Deborah Sailor Daniels, LMT

Individual provider Active NPI Massage Therapist · Little River, SC

NPI 1497094239 · NPPES record last updated Feb 13, 2013

Key facts

NPI
1497094239
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2223 (SC)
Practice address
4304 Princeton Dr
Little River, SC 29566-7526
Phone
(843) 222-7352
NPI assigned
Feb 13, 2013
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

LicenseStateTypeSpecialty
2223SCMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2223 SC Yes

Addresses

Primary practice location

4304 Princeton Dr
Little River, SC 29566-7526

Mailing address

4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616
Phone (843) 444-9355

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.