Individual
MARCY A LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT012198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT012198
GEORGIA MASSAGE BOARD
GA
Enumeration date
02/20/2023
Last updated
02/20/2023
Update your record
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