Individual provider · Type 1 NPI

Cristina A. De Souza Iv, LMT

Massage Therapist · Summerville, SC

NPI number 1558024042 Active

Practice location

5052 Ballantine Dr
Summerville, SC 29485-8899

Call (843) 597-8185 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10658 (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 1558024042

Cristina A. De Souza Iv, LMT's National Provider Identifier is 1558024042, issued on Oct 21, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Summerville, SC. The record was last updated on Oct 21, 2021.