Walter Gerrard Nivens
Walter Gerrard Nivens is a Massage Therapist in Simpsonville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.
- Licensed in
- SC
- In the registry since
- 2022
Practice location Address checks out
819 McKinney RdSimpsonville, SC 29681-4605
Phone: (864) 553-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 6830 (SC) |
|---|
Record details
| NPI number | 1720798671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | December 1, 2022 |
| Certification date | December 1, 2022 |
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