NPI | 1548144900 |
---|---|
Doing Business As | THE SUPINE STUDIO |
Entity Type | Organization |
Authorized Contact | BAILEY B. R. MADDOX Clinical Director & Therapist 803-569-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2025-07-31 |
Last Update Date | 2025-07-31 |