Individual provider · Type 1 NPI
Kourtknie Alexis Amillidreem, LMT 3679
Massage Therapist · Brandon, MS
NPI number
1013736628
Active
Practice location
1222 Old Fannin Rd Ste D
Brandon, MS 39047-8795
Mailing address
1888 Main St Ste 477
Madison, MS 39110-6337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT3679 (MS) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Brandon
About NPI 1013736628
Kourtknie Alexis Amillidreem, LMT 3679's National Provider Identifier is 1013736628, issued on Oct 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brandon, MS. The record was last updated on Oct 10, 2024.