NPI 1013230341

Ardell Buckey Knight

Practitioner Massage Therapist Brunswick, GA

Practice location

Address: 1111 Glynco Pkwy STE 300, Brunswick, GA 31525-7933
Phone: (912) 262-6552
Fax: (912) 262-6599

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 00363 (GA)

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Registry record

NPI: 1013230341
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2010
Record last updated: 1 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.