Mary Jane Elizabeth Pullam in Charleston - Massage Therapist
Mary Jane Elizabeth Pullam - NPI 1962699710
Mary Jane Elizabeth Pullam is a Massage Therapist in Charleston, South Carolina. Mary Jane Elizabeth Pullam practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mary Jane Elizabeth Pullam is 1962699710. The last update date is 2007-09-25.
Mary Jane Elizabeth Pullam's current location address is 1220 Oakcrest Dr, Charleston, South Carolina. You can contact this provider via phone number 8438148642 and fax number 8437623663. The mailing address for Mary Jane Elizabeth Pullam is 1220 Oakcrest Dr, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Elizabeth Pullam |
|---|---|
| Address | 1220 Oakcrest Dr, Charleston, South Carolina |
| Phone Number | 8438148642 |
| Fax Number | 8437623663 |
| Sole Proprietor | Y |
| Credentials | L.M.T. |
NPI Number Detail
| NPI Number | 1962699710 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 1220 Oakcrest Dr |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294129310 |
| Phone Number | 8438148642 |
| Fax Number | 8437623663 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 3748 |
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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. |
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What is the unique identifier code issued to Mary Jane Elizabeth Pullam by the Centers for Medicare & Medicaid Services?
The Mary Jane Elizabeth Pullam has been assigned the NPI (National Provider Identifier) 1962699710. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Jane Elizabeth Pullam located?
The Mary Jane Elizabeth Pullam is located at 1220 Oakcrest Dr, Charleston, SC 294129310.
What is the Mary Jane Elizabeth Pullam's specialty and taxonomy code?
The Mary Jane Elizabeth Pullam's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962699710 to Mary Jane Elizabeth Pullam?
The Centers for Medicare & Medicaid Services assigned the 1962699710 to Mary Jane Elizabeth Pullam on 2007-09-25.
As of what date were the details pertaining to Mary Jane Elizabeth Pullam last refreshed?
The information related to the Mary Jane Elizabeth Pullam, including its address, specialty, and other relevant details, was last updated on 2007-09-25.