Individual provider · Type 1 NPI

Caryl Sue Fasnacht, LMT

Massage Therapist · Lawrenceville, GA

NPI number 1891118816 Active

Practice location

2685 Logan Way
Lawrenceville, GA 30043-6111

Call (678) 216-9299 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT009416 (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 1891118816

Caryl Sue Fasnacht, LMT's National Provider Identifier is 1891118816, issued on Jan 27, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 27, 2014.