Individual provider · Type 1 NPI

Jeremy Gordon Prince, LMT

Massage Therapist · North Charleston, SC

NPI number 1760739692 Active

Practice location

2500 Elms Center Road
North Charleston, SC 29406

Call (843) 302-8845 Map

Fax (843) 569-5872

Mailing address

PO Box 118008
North Charleston, SC 29423-8008

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7197 (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 1760739692

Jeremy Gordon Prince, LMT's National Provider Identifier is 1760739692, issued on Aug 9, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Charleston, SC. The record was last updated on Aug 10, 2012.