Individual
ALICIA KEESHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
5401 GUNBOAT DR UNIT 31, COLUMBUS, GA 31907
(254) 317-5013
Mailing address
5401 GUNBOAT DR UNIT 31, COLUMBUS, GA 31907
(254) 317-5013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
API-ABMP-19
ABMP ALLIED PROFESSIONALS INSURANCE
GA
Enumeration date
08/01/2019
Last updated
10/14/2021
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