Individual
KATISHA YOLANDA BRIMMAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3421 W STEWARTS MILL ROAD 12D, DOUGLASVILLE, GA 30135, DOUGLASVILLE, GA 30135
(678) 516-4279
Mailing address
3421 W STEWARTS MILL ROAD 12D, DOUGLASVILLE, GA 30135, DOUGLASVILLE, GA 30135
(678) 516-4279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014193
GA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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