Individual provider · Type 1 NPI

Mary C. Nettles, LMT

Massage Therapist · Irmo, SC

NPI number 1316193584 Active

Practice location

7210L Broad River Rd
Irmo, SC 29063-7973

Call (803) 749-1576 Map

Mailing address

140 Willa Dr
Columbia, SC 29209-4353

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4530 (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 1316193584

Mary C. Nettles, LMT's National Provider Identifier is 1316193584, issued on Aug 7, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Irmo, SC. The record was last updated on Aug 7, 2008.