Individual
KAYLEIGH WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
211 GORDON ST, BREMEN, GA 30110-1568
(770) 537-1236
Mailing address
1575 CORINTH POSEYVILLE RD, BREMEN, GA 30110-3121
(678) 621-9759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008048
GA
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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