| NPI | 1437594124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN NICOLE ROGERS Owner, Massage Therapist 843-469-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 7946) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |