Kourtknie Alexis Amillidreem, LMT 3679
NPI #1013736628 in Brandon, Mississippi
Provider Information
- NPI Number
- 1013736628
- Entity Type
- Individual
- Name
- Kourtknie Alexis Amillidreem, LMT 3679
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT 3679
- Enumeration Date
- Oct 9, 2024
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 1222 OLD FANNIN RD STE D
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-8795
- Phone
- (601) 842-5559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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