Individual
MS. KATHERINE JOANN NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 MADISON AVE N, DOUGLAS, GA 31533-2803
(912) 260-0083
Mailing address
1103 MADISON AVE N, DOUGLAS, GA 31533-2803
(912) 260-0083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001637
GA
Other
Enumeration date
09/13/2010
Last updated
12/21/2010
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