Organization · NPI-2
Deealice Moton Hcsr
Physical Medicine & Rehabilitation · Aiken, SC
NPI number1164201836
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1164201836
- Entity type
- Organization (NPI-2)
- Legal business name
- Deealice Moton Hcsr
- Organization subpart
- Yes
- Enumeration date
- Sep 22, 2023
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 225700000X | Massage Therapist | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Flowing Hands Massage Clinical Therapy (Doing Business As)
Practice location
6350 Woodside Executive CtAiken, SC 29803-3825
Phone 706-951-5812 · Fax 888-807-5411
Mailing address
6240 Woodside Executive CtAiken, SC 29803-3822
Phone 706-627-6005 · Fax 888-807-5411
Other practice locations
6240 Woodside Executive Ct
Aiken, SC 29803-3822
Aiken, SC 29803-3822
Phone 803-226-0089 · Fax 888-807-5411
5150 Woodside Executive Ct
Aiken, SC 29803-3814
Aiken, SC 29803-3814
Phone 706-627-6005
Authorized official
Dee Alice Moton
Provider
7066276005
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