Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Boyrkin Fadden, LMT11800

Individual provider Massage Therapist · NPI 1992531024

Michael Boyrkin Fadden, LMT11800 is a Massage Therapist in Sumter, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

650 Chickasaw Dr
Sumter, SC 29150-2237
Phone: (803) 229-7806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11800 (SC)

Record details

NPI number1992531024
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT11800
Sole proprietorYes
NPI enumeratedSeptember 13, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

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