Individual provider · Type 1 NPI

Micah Fordson

Massage Therapist · Columbia, SC

NPI number 1144756222 Active

Practice location

3739 Oakleaf Rd Apt A
Columbia, SC 29206-5202

Call (803) 638-2786 Map

Mailing address

3713 Covenant Rd
Columbia, SC 29204-4217

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9888 (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.

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About NPI 1144756222

Micah Fordson's National Provider Identifier is 1144756222, issued on May 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, SC. The record was last updated on May 10, 2017.