Individual
MICHELLE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3006 CARSWELL DR, AUGUSTA, GA 30909-9752
(706) 294-0946
Mailing address
3006 CARSWELL DR, AUGUSTA, GA 30909-9752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008985
GA
247100000X
Radiologic Technologist
384336
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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