Individual
BRANDY MICHELLE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
809 WILLOWBROOK DR STE 110, HINESVILLE, GA 31313-6498
(912) 332-7479
Mailing address
6156 LANES BRIDGE RD, JESUP, GA 31545-3202
(912) 385-3027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014665
GA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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