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Individual

MARC G TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4367 ATLANTA HWY, MONTGOMERY, AL 36109-3171
(334) 558-0906
(334) 558-0910
Mailing address
4367 ATLANTA HWY, MONTGOMERY, AL 36109-3171
(334) 558-0906
(334) 558-0910

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
282
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
282
MASSAGE THERAPY LICENSE
AL
Enumeration date
02/06/2023
Last updated
02/06/2023
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