Individual provider · Type 1 NPI

Kevin Michael Deighan, LMT

Massage Therapist · Myrtle Beach, SC

NPI number 1902145865 Active

Practice location

4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616

Fax (843) 294-0019

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6146 (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 1902145865

Kevin Michael Deighan, LMT's National Provider Identifier is 1902145865, issued on Feb 12, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 12, 2013.