Individual
KEISHA NICOLE MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3625 DALLAS HWY SW STE 840, MARIETTA, GA 30064-5924
(678) 571-1203
Mailing address
3625 DALLAS HWY SW STE 840, MARIETTA, GA 30064-5924
(678) 571-1203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012547
GA
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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