person
Mrs. Shannon Irene Smith
Massage Therapist in Columbia, South Carolina
NPI 1972188027

Shannon Irene Smith is a Massage Therapist based in Irmo, SC. Shannon Irene Smith practices in Columbia, SC. The NPI Number for Shannon Irene Smith is 1972188027 and holds a License No. 10364 (South Carolina).

The current practice location address for Shannon Irene Smith is 1625 Lake Murray Blvd, Columbia, SC and can be reached out via phone at 803-238-9464. You can also correspond with Shannon Irene Smith through the mailing address at 131 MAYLAND CT, IRMO, SC - 29063-2116 (mailing address contact number: 803-238-9464).

Location: 1625 Lake Murray Blvd, Columbia, SC, 29063-2116
person
Provider Profile Details
NPI Number
1972188027
Provider Name
Shannon Irene Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1625 Lake Murray Blvd, Columbia, SC, 29063-2116
Phone Number
803-238-9464
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1625 Lake Murray Blvd
City
State
Zip
29212-8626
Phone Number
803-238-9464
Fax Number
person
Provider Business Mailing Address Details
Address
1625 Lake Murray Blvd
City
State
Zip
29212-8626
Phone Number
803-238-9464
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
10364 (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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