Individual
LAKESA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9770 HIGHWAY 69 S STE A, TUSCALOOSA, AL 35405-8782
(205) 239-0464
Mailing address
9770 HIGHWAY 69 S STE A, TUSCALOOSA, AL 35405-8782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4855
AL
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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