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Carl Bruckner, LMT
Massage Therapist in Roswell, Georgia
NPI 1144617036

Carl Bruckner is a Massage Therapist based in Roswell, GA. Carl Bruckner practices in Roswell, GA and has the professional credentials of LMT. The NPI Number for Carl Bruckner is 1144617036 and holds a License No. MT 010291 (Georgia).

The current practice location address for Carl Bruckner is 109 Thrush Dr, Roswell, GA and can be reached out via phone at 408-731-0592.

Location: 109 Thrush Dr, Roswell, GA, 30075-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144617036
Provider Name
Carl Bruckner
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
109 Thrush Dr, Roswell, GA, 30075-1141
Phone Number
408-731-0592
Fax Number
Provider Enumeration Date
04/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 Thrush Dr
City
Roswell
State
Georgia
Zip
30075-1141
Phone Number
408-731-0592
Fax Number
person
Provider Business Mailing Address Details
Address
109 Thrush Dr
City
Roswell
State
Georgia
Zip
30075-1141
Phone Number
408-731-0592
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT 010291 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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