Individual
KATHARINE MARIE KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 BLACKBURN DR, MARTINEZ, GA 30907-8203
(573) 528-7640
Mailing address
548 BLACKBURN DR, MARTINEZ, GA 30907-8203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011851
GA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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