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Tabitha Renee Boan, LMT
Massage Therapist in Dalzell, South Carolina
NPI 1033667837

Tabitha Renee Boan is a Massage Therapist based in Dalzell, SC. Tabitha Renee Boan practices in Dalzell, SC and has the professional credentials of LMT. The NPI Number for Tabitha Renee Boan is 1033667837 and holds a License No. 8291 (South Carolina).

The current practice location address for Tabitha Renee Boan is 3150 Bush Ln, Dalzell, SC and can be reached out via phone at 540-589-4248. You can also correspond with Tabitha Renee Boan through the mailing address at 3150 BUSH LN, DALZELL, SC - 29040-9724 (mailing address contact number: 540-589-4248).

Location: 3150 Bush Ln, Dalzell, SC, 29040-9724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033667837
Provider Name
Tabitha Renee Boan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3150 Bush Ln, Dalzell, SC, 29040-9724
Phone Number
540-589-4248
Fax Number
Provider Enumeration Date
09/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3150 Bush Ln
City
Dalzell
State
South Carolina
Zip
29040-9724
Phone Number
540-589-4248
Fax Number
person
Provider Business Mailing Address Details
Address
3150 Bush Ln
City
Dalzell
State
South Carolina
Zip
29040-9724
Phone Number
540-589-4248
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8291 (South Carolina)
Definition
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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