Individual
LISA MICHELLE BRAMLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
245 PINERIDGE RD, BOGART, GA 30622-1943
(706) 247-5319
Mailing address
245 PINERIDGE RD, BOGART, GA 30622-1943
(706) 247-5319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
002331
GA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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