Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 1607 | SC |
NPI | 1003054842 |
---|---|
Provider Name | Ms. Cathy Kahrs |
First Address | Goose Creek, SC 29445-5512 |
Second Address | Goose Creek, SC 29445-5512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2009 |
Last Update Date | 02/02/2009 |