Keith Hall is a Massage Therapist based in Lilburn, GA. Keith Hall practices in Lilburn, GA. The NPI Number for Keith Hall is 1649651282 and holds a License No. MT 001807 (Georgia).
The current practice location address for Keith Hall is 1126 Lake Knoll Dr Nw, Lilburn, GA and can be reached out via phone at 678-914-8642.
Location: 1126 Lake Knoll Dr Nw, Lilburn, GA, 30047-8716
Provider Profile Details
NPI Number
1649651282
Provider Name
Keith Hall
Credential
Provider Entity Type
Individual
Gender
Male
Address
1126 Lake Knoll Dr Nw, Lilburn, GA, 30047-8716
Phone Number
678-914-8642
Fax Number
Provider Enumeration Date
06/09/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1126 Lake Knoll Dr Nw
City
State
Zip
30047-8716
Phone Number
678-914-8642
Fax Number
Provider Business Mailing Address Details
Address
1126 Lake Knoll Dr Nw
City
State
Zip
30047-8716
Phone Number
678-914-8642
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MT 001807 (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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