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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS7994 (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 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.