Keith Hall

NPI #1649651282 in Lilburn, Georgia

Provider Information

NPI Number: 1649651282
Entity Type: Individual
Name: Keith Hall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 9, 2015
Last Updated: Jun 9, 2015

Practice Location

Address: 1126 LAKE KNOLL DR NW
Address 2: 1126 LAKE KNOLL DR.
City: Lilburn
State: Georgia
ZIP Code: 30047-8716
Phone: (678) 914-8642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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