Individual provider · Type 1 NPI
Mary Jane Elizabeth Pullam, L.M.T.
Massage Therapist · Charleston, SC
NPI number
1962699710
Active
Practice location
1220 Oakcrest Dr
Charleston, SC 29412-9310
Fax (843) 762-3663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 3748 (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 1962699710
Mary Jane Elizabeth Pullam, L.M.T.'s National Provider Identifier is 1962699710, issued on Sep 25, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charleston, SC. The record was last updated on Sep 25, 2007.