IndividualActive
Laura Theismann, MT-BC
NPI 1366792954 · Contractor · Columbia, SC
Provider details
- NPI number
- 1366792954
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 09094
Specialties & taxonomies
Other Service Providers
Practice location
1931 Bull St
Columbia, SC 29201-2560
Phone: (678) 414-3042
Approximate (ZIP-level) locationGet directions
Mailing address
202 Stonewall St
Hartsville, SC 29550-8765
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.