Individual provider · Type 1 NPI
Charles H. Lubeck, LMT
Massage Therapist · Evans, GA
NPI number
1134311343
Active
Practice location
608 Ponder Place Dr
Evans, GA 30809-3185
Mailing address
312 Rabun Valley Ln
Martinez, GA 30907-9523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT002464 (GA) |
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.
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About NPI 1134311343
Charles H. Lubeck, LMT's National Provider Identifier is 1134311343, issued on Aug 11, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Evans, GA. The record was last updated on Aug 11, 2007.