Cristina A De Souza IV, LMT
Massage Therapist in Summerville, SC. Individual provider (NPI-1).
NPI number1558024042
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1558024042
- Entity type
- Individual (NPI-1)
- Name
- Ms. Cristina A De Souza IV
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2021
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 10658 | SC | Yes |
Practice location
5052 Ballantine DrSummerville, SC 29485-8899
Phone 843-597-8185
Mailing address
5052 Ballantine DrSummerville, SC 29485-8899
Phone 843-597-8185
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All 21 Massage Therapist providers in Summerville · All 2,710 providers in Summerville
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