Individual provider · Type 1 NPI
Keith Hall
Massage Therapist · Lilburn, GA
NPI number
1649651282
Active
Practice location
1126 Lake Knoll Dr NW, 1126 Lake Knoll Dr.
Lilburn, GA 30047-8716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT 001807 (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 1649651282
Keith Hall's National Provider Identifier is 1649651282, issued on Jun 9, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lilburn, GA. The record was last updated on Jun 9, 2015.