Organization
SPORT & INJURY BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN HALL LMT, CPT (MANAGING PARTNER)
(352) 308-7253
Entity
Organization
Contact information
Practice address
655 NW FRONTAGE RD, AUGUSTA, GA 30907-2459
(706) 614-8062
Mailing address
487 BRAD MARY LAKE RD, HARLEM, GA 30814-3602
(352) 308-7253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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