Individual provider · NPI-1

Monique Brinson, Lmt

Massage Therapist · Lithonia, GA

NPI number1922601681

StatusActive

Last updated in NPPESNov 17, 2020

Details

NPI: 1922601681
Entity type: Individual (NPI-1)
Name: Monique Brinson
Credential: Lmt
Sex: Female
Sole proprietor: Yes
Enumeration date: Nov 17, 2020
Certification date: Nov 17, 2020
Last updated: Nov 17, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225700000X	Massage Therapist	009873	GA	Yes
171000000X	Military Health Care Provider	–	–
171M00000X	Case Manager/Care Coordinator	–	–
171W00000X	Contractor	–	–
172A00000X	Driver	–	–
173C00000X	Reflexologist	–	–
174H00000X	Health Educator	–	–
2470A2800X	Technician, Health Information, Assistant Record Technician	–	–
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–
3747P1801X	Technician, Personal Care Attendant	–	–
374U00000X	Home Health Aide	–	–
376J00000X	Homemaker	–	–
376K00000X	Nurse's Aide	–	–

Practice location

2232 Briar Knoll Rd
Lithonia, GA 30058-8391

Phone 678-267-6549

Mailing address

Po Box 291
Lithonia, GA 30074-0291

Phone 678-267-6549

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