# THE LYMPHEDEMA CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013710441
- **Authorized official:** BRANDY MCKEOWN OTR/L, CLT-LANA (PRESIDENT)
- **Authorized official phone:** (229) 848-0050

## Contact information

- **Practice address:** 1401 US HIGHWAY 41 N, TIFTON, GA 31794-3203
- **Practice address phone:** (229) 387-8377
- **Practice address fax:** (229) 387-8370
- **Mailing address:** 1401 US HIGHWAY 41 N, TIFTON, GA 31794-3203
- **Mailing address phone:** (229) 387-8377
- **Mailing address fax:** (229) 387-8370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 04/19/2025