MARY JANE ELIZABETH PULLAM L.M.T.
NPI 1962699710
Massage Therapist in Charleston, SC
Active since September 25, 2007
About Mary Jane Elizabeth Pullam L.m.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JANE ELIZABETH PULLAM L.M.T. (NPI 1962699710) is an individual massage therapist in Charleston, South Carolina, licensed in South Carolina (3748) and active in the NPI registry since September 2007.
NPPES Registry Identity
NPI1962699710
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARY JANE ELIZABETH PULLAMCredential: L.M.T.
Location Address1220 OAKCREST DRCharleston, SC 29412-9310
Mailing Address1220 Oakcrest DrCharleston, SC 29412-9310 · (843) 814-8642 · Fax (843) 762-3663
Phone(843) 814-8642
Fax(843) 762-3663
Sole ProprietorYes
Enumeration DateSeptember 25, 2007
✔ NPI 1962699710 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in SC · 3748
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.
1220 OAKCREST DR, Charleston, SC 29412
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962699710, enumerated as an "individual" on September 25, 2007.
The provider is located at 1220 OAKCREST DR CHARLESTON, SC 29412 and the phone number is (843) 814-8642.
Massage Therapist with taxonomy code 225700000X.
