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NPI 1104781467

NPI 1104781467 : BODIES BY CRAFT LLC : WEST COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1104781467
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    Entity Type          |    Organization 
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    Legal Business Name  |    BODIES BY CRAFT LLC 
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Dates
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    Enumeration Date     |    12/18/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    2243 LEAPHART RD 
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    City                 |    WEST COLUMBIA
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    State                |    SC
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    Zip                  |    29169-4677
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    Country              |    US
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    Telephone            |    401-450-2379
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    472 SWIFT CURRENT LOOP 
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    City                 |    BLYTHEWOOD
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    State                |    SC
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    Zip                  |    29016-9273
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    Country              |    US
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    Telephone            |    401-359-3936
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARAH A CRAFT 
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    Credential           |    
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    Telephone            |    401-359-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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