MEDICARE: MARVELETTE SEIGLER

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	7502	SC

General Provider Information

NPI Number	:	1861341471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVELETTE SEIGLER

Provider Business Mailing Address
First Line	:	1529 KIMBERLY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-6223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 LAKE CAROLINA WAY STE 280
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-7563
Country	:	US
Telephone Number	:	205-526-6060
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ MARVELETTE SEIGLER ” Practice Location

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