Caleb Davis, LMT, PTA

NPI #1902643588 in Richmond Hill, Georgia

Provider Information

NPI Number: 1902643588
Entity Type: Individual
Name: Caleb Davis, LMT, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT, PTA
Enumeration Date: Jul 11, 2024
Last Updated: Jul 11, 2024

Practice Location

Address: 11258 FORD AVE STE 7
City: Richmond Hill
State: Georgia
ZIP Code: 31324-8880
Phone: (912) 470-8105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Massage Therapist	225700000X	Primary

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