Individual
KATHRYN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
220 LANIER AVE E, FAYETTEVILLE, GA 30214-1604
(770) 235-0725
Mailing address
220 LANIER AVE E, FAYETTEVILLE, GA 30214-1604
(770) 235-0725
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT007373
GA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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