MEDICARE: TUNDE HALMAI MULLINS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	9935	SC

General Provider Information

NPI Number	:	1770294126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUNDE HALMAI MULLINS LMT

Provider Business Mailing Address
First Line	:	811 NIGHT HERON LN
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-5726
Country	:	US
Telephone Number	:	843-340-1475
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 HIGHWAY 17 N STE 201
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-8107
Country	:	US
Telephone Number	:	843-489-0788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	05/12/2023

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Directions to “ TUNDE HALMAI MULLINS LMT” Practice Location

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