Richard Cleveland, MASSAGE THERAPIST

NPI #1437587102 in Dalzell, South Carolina

Provider Information

NPI Number: 1437587102
Entity Type: Individual
Name: Richard Cleveland, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Oct 16, 2013
Last Updated: Oct 16, 2013

Practice Location

Address: 5165 LONGBRANCH DR
City: Dalzell
State: South Carolina
ZIP Code: 29040-8909
Phone: (803) 316-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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