Individual
KACI MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
855 BELMAR PASS, FAIRBURN, GA 30213-4482
(407) 552-9259
Mailing address
75 WASHINGTON ST UNIT 1177, FAIRBURN, GA 30213-3612
(407) 552-9259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014761
GA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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