Provider Demographics
NPI:1578256400
Name:BENJAMIN, ARIANA (LMT, CFT)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:LMT, CFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BIRKDALE CT W
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7020
Mailing Address - Country:US
Mailing Address - Phone:803-439-7655
Mailing Address - Fax:
Practice Address - Street 1:37 VARDEN DR STE F
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5297
Practice Address - Country:US
Practice Address - Phone:803-998-7524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11520225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist