Individual
MATTIE M BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, FMT
Contact information
Practice address
1404 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4012
(423) 710-5761
Mailing address
1404 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4012
(423) 710-5761
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010004
GA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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