Healthcare Provider Details

I. General information

NPI: 1982839478
Provider Name (Legal Business Name): ABOUT HEALING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N MAIN ST
MAULDIN SC
29662-2307
US

IV. Provider business mailing address

503 N MAIN ST
MAULDIN SC
29662-2307
US

V. Phone/Fax

Practice location:
  • Phone: 864-254-0208
  • Fax:
Mailing address:
  • Phone: 864-254-0208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005161
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number5532
License Number StateSC

VIII. Authorized Official

Name: MS. ERNESTINE B PERRY
Title or Position: OWNER/THERAPIST
Credential: THERAPIST/ SCLIC1188
Phone: 864-254-0208