KEITH HALL

LILBURN, GA
NPI1649651282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT 001807)
Enumeration Date2015-06-09
Last Update Date2015-06-09
Business Address
-- KEITH HALL
1126 LAKE KNOLL DR NW 1126 LAKE KNOLL DR.
LILBURN, GA 30047-8716
Phone number: 678-914-8642
Mailing Address
-- KEITH HALL
1126 LAKE KNOLL DR NW 1126 LAKE KNOLL DR.
LILBURN, GA 30047-8716
Phone number: 678-914-8642