Individual
KESHA WALKER WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3651 MARS HILL RD STE 600B, WATKINSVILLE, GA 30677-5989
(770) 262-8748
Mailing address
1550 CORNELL CT, STATHAM, GA 30666-2046
(706) 817-1662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008099
GA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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