Individual provider · Type 1 NPI
Othella Kay Dalton
Massage Therapist · Simpsonville, SC
NPI number
1689970055
Active
Practice location
413B SE Main St
Simpsonville, SC 29681-2651
Mailing address
152 Woodridge Cir
Greenville, SC 29607-5324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6880 (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 1689970055
Othella Kay Dalton's National Provider Identifier is 1689970055, issued on Feb 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Simpsonville, SC. The record was last updated on Feb 2, 2011.