NPI 1063217610

Brittney Havok

Practitioner Massage Therapist Augusta, GA

Practice location

Address: 1815 Kissingbower Rd, Augusta, GA 30904-6504
Phone: (706) 726-4025
Mailing address: 2504 Lyndale St, Augusta, GA 30904-5313

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT014664 (GA)

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Registry record

NPI: 1063217610
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2025
Record last updated: 18 Feb 2025

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.