Individual provider · Type 1 NPI
Colleen Kinnard, MS, CCC-SLP, LMT
Massage Therapist · Tyrone, GA
NPI number
1457706475
Active
Practice location
2025 Castle Lake Dr
Tyrone, GA 30290-2215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008597 (GA) |
| Massage Therapist Primary | 225700000X | MT015158 (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.
Other massage therapist providers in Tyrone
About NPI 1457706475
Colleen Kinnard, MS, CCC-SLP, LMT's National Provider Identifier is 1457706475, issued on Apr 27, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tyrone, GA. The record was last updated on Feb 12, 2025.