Individual provider · Type 1 NPI
Deealice Moton, LMT
Rehabilitation Practitioner · Aiken, SC
NPI number
1477826071
Active
Practice location
6350 Woodside Executive Ct
Aiken, SC 29803-3825
Mailing address
6240 Woodside Executive Ct
Aiken, SC 29803-3822
Other practice locations
- 5150 Woodside Executive Ct, Aiken, SC 29803-3814 · (706) 627-6005
- 6240 Woodside Executive Ct, Aiken, SC 29803-3822 · (803) 226-0089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | 9071 (SC) |
| Physical Medicine & Rehabilitation Physician | 208100000X | MAS.9071 (SC) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 9071 (SC) |
| Interventional Pain Medicine Physician | 208VP0014X | 9071 (SC) |
| Massage Therapist | 225700000X | MT007357 (GA) |
| Rehabilitation Practitioner Primary | 225400000X | 9071 (SC) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2 other providers at this address
About NPI 1477826071
Deealice Moton, LMT's National Provider Identifier is 1477826071, issued on Feb 14, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Aiken, SC. The record was last updated on Jan 9, 2025.