Shane Michael Nelson
NPI #1356628168 in Piedmont, South Carolina
Provider Information
- NPI Number
- 1356628168
- Entity Type
- Individual
- Name
- Shane Michael Nelson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Nov 8, 2011
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 413 WOODFIELD DR
- City
- Piedmont
- State
- South Carolina
- ZIP Code
- 29673-8373
- Phone
- (864) 209-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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