Individual provider · Type 1 NPI
Kathy A. Riederich, LMT
Massage Therapist · Tucker, GA
NPI number
1154638203
Active
Practice location
501 Engle Dr
Tucker, GA 30084-2018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT002646 (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 1154638203
Kathy A. Riederich, LMT's National Provider Identifier is 1154638203, issued on Sep 10, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tucker, GA. The record was last updated on Sep 10, 2010.