Individual provider · Type 1 NPI
Michael Boyrkin Fadden, LMT#11800
Massage Therapist · Sumter, SC
NPI number
1992531024
Active
Practice location
650 Chickasaw Dr
Sumter, SC 29150-2237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11800 (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 1992531024
Michael Boyrkin Fadden, LMT#11800's National Provider Identifier is 1992531024, issued on Sep 13, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sumter, SC. The record was last updated on Sep 13, 2024.