Individual provider · Type 1 NPI
Michael David Benavidez, L.M.T., M.M.P.
Massage Therapist · Mount Pleasant, SC
NPI number
1689015612
Active
Practice location
1204 Landau Ln
Mount Pleasant, SC 29466-7301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS.8495R (SC) |
| Massage Therapist | 225700000X | MT109593 (TX) |
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 1689015612
Michael David Benavidez, L.M.T., M.M.P.'s National Provider Identifier is 1689015612, issued on Jul 6, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jul 6, 2013.