Individual provider · NPI-1

Michelle Burt, Lmt

Massage Therapist · Augusta, GA

NPI number1730534280
StatusActive
Last updated in NPPESMay 3, 2016

Details

NPI
1730534280
Entity type
Individual (NPI-1)
Name
Michelle Burt
Credential
Lmt
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2016
Last updated
May 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT008985GAYes
247100000X Radiologic Technologist384336–

Practice location

3006 Carswell Dr
Augusta, GA 30909-9752

Phone 706-294-0946

Mailing address

3006 Carswell Dr
Augusta, GA 30909-9752

Is something wrong?

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