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Contact Information

KATISHA Y BRIMMAGE, LMT
3421 W STEWARTS MILL ROAD 12D
DOUGLASVILLE, GA 30135
DOUGLASVILLE, GA30135
 Phone: 678-516-4279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for KATISHA Y BRIMMAGE · (Female)

NPI Number 1154003200
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 08/07/2023
Last updated 08/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # MT014193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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