Individual provider · Type 1 NPI

Carl Bruckner, LMT

Massage Therapist · Roswell, GA

NPI number 1144617036 Active

Practice location

109 Thrush Dr
Roswell, GA 30075-1141

Call (408) 731-0592 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT 010291 (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 1144617036

Carl Bruckner, LMT's National Provider Identifier is 1144617036, issued on Apr 19, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Roswell, GA. The record was last updated on Apr 19, 2015.