Individual provider · Type 1 NPI
Wanda Ruby Godley, LMT
Massage Therapist · Ladys Island, SC
NPI number
1013536432
Active
Practice location
73 Sea Island Pkwy Ste 16
Ladys Island, SC 29907-1460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 3078 (SC) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1013536432
Wanda Ruby Godley, LMT's National Provider Identifier is 1013536432, issued on Apr 15, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ladys Island, SC. The record was last updated on Apr 15, 2020.