MEDICARE: EBONY ENGLISH 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	13306	SC

General Provider Information

NPI Number	:	1851235253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY ENGLISH LMT

Provider Business Mailing Address
First Line	:	510 CONWAY DR APT 2306
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-4706
Country	:	US
Telephone Number	:	803-540-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 CONWAY DR APT 2306
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-4706
Country	:	US
Telephone Number	:	803-540-6585
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ EBONY ENGLISH LMT” Practice Location

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