Individual provider · Type 1 NPI

John Julius Gerideau Iii, LMT, MLD

Massage Therapist · Aiken, SC

NPI number 1285402776 Active

Practice location

151 Waterloo St SW
Aiken, SC 29801-3756

Call (877) 462-1827 Map

Mailing address

708 Davis Ter NW
Aiken, SC 29801-4036

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9586 (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 1285402776

John Julius Gerideau Iii, LMT, MLD's National Provider Identifier is 1285402776, issued on Dec 14, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Aiken, SC. The record was last updated on Dec 14, 2023.