Individual provider · Type 1 NPI
Richardean Gibson Wingate, MLT
Massage Therapist · Florence, SC
NPI number
1235688722
Active
Practice location
605 S Dargan St
Florence, SC 29506-2544
Fax (843) 407-6607
Mailing address
PO Box 376
Florence, SC 29503-0376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS7994 (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.
Another provider at this address
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About NPI 1235688722
Richardean Gibson Wingate, MLT's National Provider Identifier is 1235688722, issued on Sep 26, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Florence, SC. The record was last updated on Sep 26, 2016.