| NPI | 1164201836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE ALICE MOTON Provider 706-627-6005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-01-14 |