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Susan Brock, LMT
Massage Therapist in Macon, Georgia
NPI 1366855132

Susan Brock is a Massage Therapist based in Macon, GA. Susan Brock practices in Macon, GA and has the professional credentials of LMT. The NPI Number for Susan Brock is 1366855132 and holds a License No. MT001483 (Georgia).

The current practice location address for Susan Brock is 3260 Vineville Ave, Macon, GA and can be reached out via phone at 478-960-6366.

Location: 3260 Vineville Ave, Macon, GA, 31204-2324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366855132
Provider Name
Susan Brock
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3260 Vineville Ave, Macon, GA, 31204-2324
Phone Number
478-960-6366
Fax Number
Provider Enumeration Date
06/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3260 Vineville Ave
City
Macon
State
Georgia
Zip
31204-2324
Phone Number
478-960-6366
Fax Number
person
Provider Business Mailing Address Details
Address
3260 Vineville Ave
City
Macon
State
Georgia
Zip
31204-2324
Phone Number
478-960-6366
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT001483 (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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