Provider Demographics
NPI:1639244858
Name:LUVISI, KAREN JOYCE (LMT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOYCE
Last Name:LUVISI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 HARBISON BLVD
Mailing Address - Street 2:APT 407
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-1735
Mailing Address - Country:US
Mailing Address - Phone:803-673-4132
Mailing Address - Fax:
Practice Address - Street 1:7210L BROAD RIVER RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7973
Practice Address - Country:US
Practice Address - Phone:803-749-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4591225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist