Mario Parker, LMT | |
1216 Broad River Rd, Columbia, SC 29210-7619 | |
(803) 865-9600 | |
Not Available |
Full Name | Mario Parker |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1216 Broad River Rd, Columbia, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215398417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 10154 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mario Parker, LMT 3930 Broad River Rd, Apt N-1, Columbia, SC 29210-4710 Ph: (803) 201-5474 | Mario Parker, LMT 1216 Broad River Rd, Columbia, SC 29210-7619 Ph: (803) 865-9600 |
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