William Tyler Caudle, LMT, CPT
Massage Therapist in Augusta, GA. Individual provider (NPI-1).
NPI number1184315665
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1184315665
- Entity type
- Individual (NPI-1)
- Name
- William Tyler Caudle
- Credential
- LMT, CPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2023
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT014116 | GA | Yes |
Practice location
655 Nw Frontage RdAugusta, GA 30907-2459
Phone 706-614-8062
Mailing address
487 Brad Mary Lake RdHarlem, GA 30814-3602
Phone 478-733-4958
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