Individual
LAURIE LYNN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
106 PLEASANT HOME RD, SUITE 2D, AUGUSTA, GA 30907-0500
(706) 863-7599
Mailing address
1202 TOWN PARK LN, SUITE 105, EVANS, GA 30809-3474
(706) 346-7352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000376
GA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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