Individual
KEANNA LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1550 TERRELL MILL RD SE APT 25C, MARIETTA, GA 30067-6079
(731) 394-8179
Mailing address
1550 TERRELL MILL RD SE APT 25C, MARIETTA, GA 30067-6079
(731) 394-8179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014036
GA
225700000X
Massage Therapist
MT01436
GA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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