Individual
MRS. DENISE RENEA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
276 REDFERN VLG, ST SIMONS ISLAND, GA 31522-2598
(912) 322-3057
Mailing address
276 REDFERN VLG, ST SIMONS ISLAND, GA 31522-2598
(912) 322-3057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA29064
FL
225700000X
Massage Therapist
Primary
MT005823
GA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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