Katisha Yolanda Brimmage, LMT

NPI #1154003200 in Douglasville, Georgia

Provider Information

NPI Number
1154003200
Entity Type
Individual
Name
Katisha Yolanda Brimmage, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Aug 7, 2023
Last Updated
Aug 7, 2023

Practice Location

Address
3421 W STEWARTS MILL ROAD 12D
Address 2
DOUGLASVILLE, GA 30135
State
Georgia
ZIP Code
30135
Phone
(678) 516-4279

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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