Individual provider · Type 1 NPI

Brian Douglas Walters, LMT

Massage Therapist · Stone Mountain, GA

NPI number 1427425347 Active

Practice location

2045 Rockbridge Rd
Stone Mountain, GA 30087-3551

Call (678) 883-2873 Map

Mailing address

4018 Sue Ln
Decatur, GA 30035-1075

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT007445 (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 1427425347

Brian Douglas Walters, LMT's National Provider Identifier is 1427425347, issued on Aug 26, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 26, 2015.